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Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment.

Publication ,  Journal Article
Serafin, D; Riefkohl, R; Thomas, I; Georgiade, NG
Published in: Plast Reconstr Surg
November 1980

Three approaches to provide rib-periosteal or osteocutaneous composite tissue in maxillary or mandibular reconstruction are presented. All methods appear to be useful in replacing viable osteocytes and improving vascularity of maxillary or mandibular defects. Disadvantages include the bulk of the transplanted tissue, volume deficiency of bone, and the unreliability in viability of the associated cutaneous tissue, especially with the posterior and posterolateral approach. Significant patient morbidity and pulmonary complications in our series should indicate caution when considering these methods of reconstruction. At present, rib-periosteal transplantation is most often indicated to replace segmental defects of mandibular continuity when the recipient bed is avascular but the quantity of cutaneous cover is adequate. In those patients with deficient soft tissue and a small segmental mandibular loss, reconstruction with musculocutaneous flaps and nonvascularized bone grafts is indicated. With extensive deficiencies of both soft tissue cover and mandibular or maxillary continuity, an iliac osteocutaneous flap based on the deep circumflex iliac vessels may be the most effective. Lower patient morbidity statistics should be anticipated.

Duke Scholars

Published In

Plast Reconstr Surg

DOI

ISSN

0032-1052

Publication Date

November 1980

Volume

66

Issue

5

Start / End Page

718 / 727

Location

United States

Related Subject Headings

  • Transplantation, Autologous
  • Surgical Flaps
  • Surgery, Plastic
  • Surgery
  • Skin Transplantation
  • Ribs
  • Postoperative Complications
  • Periosteum
  • Middle Aged
  • Maxilla
 

Citation

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ICMJE
MLA
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Serafin, D., Riefkohl, R., Thomas, I., & Georgiade, N. G. (1980). Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment. Plast Reconstr Surg, 66(5), 718–727. https://doi.org/10.1097/00006534-198011000-00007
Serafin, D., R. Riefkohl, I. Thomas, and N. G. Georgiade. “Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment.Plast Reconstr Surg 66, no. 5 (November 1980): 718–27. https://doi.org/10.1097/00006534-198011000-00007.
Serafin D, Riefkohl R, Thomas I, Georgiade NG. Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment. Plast Reconstr Surg. 1980 Nov;66(5):718–27.
Serafin, D., et al. “Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment.Plast Reconstr Surg, vol. 66, no. 5, Nov. 1980, pp. 718–27. Pubmed, doi:10.1097/00006534-198011000-00007.
Serafin D, Riefkohl R, Thomas I, Georgiade NG. Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment. Plast Reconstr Surg. 1980 Nov;66(5):718–727.

Published In

Plast Reconstr Surg

DOI

ISSN

0032-1052

Publication Date

November 1980

Volume

66

Issue

5

Start / End Page

718 / 727

Location

United States

Related Subject Headings

  • Transplantation, Autologous
  • Surgical Flaps
  • Surgery, Plastic
  • Surgery
  • Skin Transplantation
  • Ribs
  • Postoperative Complications
  • Periosteum
  • Middle Aged
  • Maxilla