Reconstructive techniques by J. Shah
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The document discusses reconstructive techniques for head and neck surgery following cancer ablation of the oral cavity. It outlines the goals of reconstruction as being both functional and aesthetic. Functionally, reconstruction aims to restore oral competence, speech, mobility, mastication, bolus transport, and sensation. Aesthetically, it aims to restore bony framework, soft tissue contour, chin protrusion and mobility. A variety of soft tissue and bone reconstructive techniques are presented, including skin grafts, local and regional flaps, myocutaneous flaps, and microvascular free flaps of the radial forearm, anterolateral thigh, fibula and rectus abdominis. Free flaps are commonly used to reconstruct
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Reconstructive techniques by J. Shah
- 1. The International Federation of Head and Neck Oncologic Societies Current Concepts in Head and Neck Surgery and Oncology 2012 Reconstructive Techniques in Head and Neck Surgery Jatin P. Shah
- 2. Impact of Cancer Ablative Surgery of the Oral Cavity Aesthetic Aesthetic Functional Functional Contour Contour Speech Speech Expression Expression Mastication Mastication Competence Competence Swallowing Swallowing Oral Cripple Oral Cripple 2012
- 3. Extent of Tissue Loss from Cancer Ablative Surgery of the Oral Cavity Soft Tissue Soft Tissue Bone Bone Mobile Mobile Mobile Immobile Immobile Mobile 2012
- 4. 2012
- 5. Reconstruction of Oral Cavity Goals Functional: • Oral Competence • Clarity of speech • Tongue Mobility • Mastication • Bolus Transport • Regurgitation • Aspiration • Tactile Sensations • Taste 2012
- 6. Reconstruction of Oral Cavity Goals Aesthetics: • Bony Framework • Soft Tissue Contour • Chin Protrusion • Mobility • Oral Competence 2012 • Skin Sensation
- 7. Oral Cavity Soft Tissue Loss • Mucosa • Mucosa + submucosal soft tissue • Mucosa + soft tissue + muscles • Mucosa + soft tissue + muscles + skin • Mucosa + soft tissue + muscles + bone 2012
- 8. Oral Cavity Bone Loss Maxilla Mandible • Partial Hard Palate • Marginal • Total Hard Palate Mandibulectomy • Upper and Lower • Ascending Ramus Gum Resection • Short Segment of Body • Hemimandibulectomy • Anterior Arch Resection 2012
- 9. Soft Tissue Reconstruction of Oral Cavity Mucosa • None • Split Skin Graft • Primary Closure 2012
- 10. Soft Tissue Reconstruction of Oral Cavity Mucosa and Submucosal Soft Tissue • Skin Graft • Primary Closure • Local Flap 2012
- 11. Skin Graft in Floor of Mouth 2012
- 12. Soft Tissue Reconstruction of Oral Cavity Mucosa, Soft Tissue & Muscles • Skin Graft • Primary Closure • Local Flap • Regional Cutaneous Flap • Myocutaneous Flap 2012 • Radial Forearm Free Flap
- 13. Reconstruction of the Face and Neck • Local Flaps • Regional Cutaneous Flaps • Regional Myocutaneous Flaps • Free Flaps Radial Forearm, Anterolateral thigh, 2012 Rectus Abdominis, Latissimus Dorsi etc.
- 14. Cervical Flap for Parotid Defect 2012
- 15. Cervical Flap for Neck Defect 2012
- 18. PMMC Flap with Brachytherapy 2012
- 19. Vertical Trapezius MC Flap 2012
- 20. Microvascular Free Flaps in Head and Neck Reconstruction • Radial forearm • Anterolateral thigh • Latissimus Dorsi • Rectus abdominis • Fibula 2012 • Jejunum
- 21. Radial Forearm Free Flap 2012
- 22. RFFF for Facial defects 2012
- 23. RFFF for Oral Defects 2012
- 24. Rectus Abdominis Free Flap 2012
- 25. Bone Reconstruction of Oral Cavity Upper Alveolus (Palatal) • None (prosthesis) • Microvascular Free Flap 2012
- 26. Dental Prosthesis for palatal Defect 2012
- 28. Bone Reconstruction of Oral Cavity Ascending Ramus of the Mandible • None • A.O. Plate • Microvascular Free Flap 2012
- 29. Bone Reconstruction of Oral Cavity Body of the Mandible • None • A.O. Plate • Free non-vascularized graft (short segment) 2012 • Microvascular free flap
- 30. Bone Reconstruction of Oral Cavity Anterior Arch of the Mandible • None • Microvascular free flap 2012
- 31. Radial Forearm Osteocutaneous Flap 2012
- 33. Fibula Free Flap for Tongue and Mandible Reconstruction 2012
- 34. Fibula Free Flap for Anteriror Arch of Mandible 2012
- 35. Dental Implants in Fibula Free Flap 2012