Publication:
The Multiple Osteotomized Free Iliac Osteocutaneous Flap for Reconstructions of Complex Maxillofacial and Oromandibular Defects

dc.contributor.authorKARAALTIN, Mehmet Veli
dc.contributor.authorCanter, Halil Ibrahim
dc.contributor.authorBATIOGLU-KARAALTIN, Aysegul
dc.contributor.authorYOGUN, Fatma Nilay
dc.contributor.authorGuneren, ETHEM
dc.contributor.authorSOENMEZ, Tolga Taha
dc.contributor.institutionauthorGÜNEREN, ETHEM
dc.date.accessioned2020-10-29T23:06:38Z
dc.date.available2020-10-29T23:06:38Z
dc.date.issued2013-09-01T00:00:00Z
dc.description.abstractThe vascularized iliac osteocutaneous flap has been used successfully for jaw reconstruction. To obtain a better contour of the reconstructed area in large upper and lower jaw resections, the transferred bone actually needs to be osteotomized. Single closing-wedge osteotomy of the iliac flap for mandibular reconstruction has been previously described. In this article, the modified multiple osteotomized perforator-based versatile free iliac osteocutaneous flap is described. Eleven cases were enrolled. Seven patients had wide anterior mandibular resections due to oral cavity and mandibular tumors; 3 patients had a defect due to explosive injury and 1 patient had complicated orbitomaxillary defect due to blast injury. Skin paddle was based on the perforators. In 8 patients, the bony segment was divided into 3 segments by 2 osteotomies, whereas in 2 patients the bony segment was divided into 4 segments by 3 osteotomies. In 10 cases, the flap was used for anterior mandibular defects, whereas in 1 case the flap was customized to fit an L-shaped defect at the naso-orbito-maxillary region. The overall flap success rate was 100%. No resorption or morbidity related to the osteotomy of the bony segments was observed. The size of perforator skin paddle was 6 to 8 x 15 to 18 cm. Physical and radiologic examinations showed proper bone healing without any additional complications. The modified multiple osteotomized free osteocutaneous iliac flap can provide a safe and versatile bony segment to be arranged and adapted to reconstruct complex mandibular and maxillofacial defects.
dc.identifier.citationKARAALTIN M. V. , Canter H. I. , BATIOGLU-KARAALTIN A., YOGUN F. N. , Guneren E., SOENMEZ T. T. , -The Multiple Osteotomized Free Iliac Osteocutaneous Flap for Reconstructions of Complex Maxillofacial and Oromandibular Defects-, JOURNAL OF CRANIOFACIAL SURGERY, cilt.24, ss.1586-1592, 2013
dc.identifier.doi10.1097/scs.0b013e3182a12e25
dc.identifier.pubmed24036732
dc.identifier.scopus84885047213
dc.identifier.urihttp://hdl.handle.net/20.500.12645/26905
dc.identifier.wosWOS:000330353200051
dc.titleThe Multiple Osteotomized Free Iliac Osteocutaneous Flap for Reconstructions of Complex Maxillofacial and Oromandibular Defects
dc.typeArticle
dspace.entity.typePublication
local.avesis.idd0552438-357a-45d4-889f-6013a482a60d
local.publication.isinternational1
relation.isAuthorOfPublication06cb67b1-9bec-4e11-a6ed-503dc70e3da8
relation.isAuthorOfPublication.latestForDiscovery06cb67b1-9bec-4e11-a6ed-503dc70e3da8
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