PDF(Pubmed)
Abstract：
Patients with advanced malignant tumors, including both jaws, is a challenging task for a head and neck surgeon. Current treatment landscape demonstrates good functional, anatomical, and aesthetic results in patients who could previously receive only palliative care. The extensive tissue defects resulting from oncological resections in the head and neck region require immediate reconstruction due to the exposure of vital structures and their contact with the external environment. A patient was operated using a three-team multidisciplinary approach involving simultaneous work of three specialized teams of maxillofacial and reconstructive microsurgeons, as well as an implantologist and a prosthodontist. This approach allowed simultaneous tumor resection with subsequent reconstruction of the intraoperative defect involving bilateral harvesting of two revascularized free fibular osteomusculocutaneous flaps with dental implantation and simultaneous rehabilitation of dentition with crowns.
摘要：
晚期恶性肿瘤患者，包括两个下巴，对于头颈部外科医生来说是一项具有挑战性的任务。目前的治疗景观显示出良好的功能，解剖学,以及以前只能接受姑息治疗的患者的美学结果。由于重要结构的暴露及其与外部环境的接触，由头颈部区域的肿瘤切除引起的广泛组织缺陷需要立即重建。一名患者使用三队多学科方法进行手术，涉及三个专业的颌面和重建显微外科医师团队的同时工作。以及一名种植学家和一名修复医生。这种方法可以同时切除肿瘤，随后重建术中缺损，包括双侧收获两个血管重建的游离腓骨骨肌皮瓣，并植入牙齿，并同时用牙冠修复牙列。
