Biomaterial Database

[Combination of successive free transplants and osseointegrated implants in the reconstruction of the upper jaw]. 1998

V Darche, and P Lejuste, and E Piette

Service de Chirurgie Maxillo-faciale, Plastique et Reconstructrice, Clinique et Maternité Ste.-Elisabeth, Namur, Belgique.

Various free flap transfers can be associated to reconstruct a defect after resections in the head and neck region. The use of these flaps can be synchronous (one-stage surgery) or metachronous (two-stage surgery) in order to correct or improve secondary residual deformities. A two-stage use of free flaps, first with an osteocutaneous scapular flap and second with a fascial radial forearm flap, is reported after total maxillectomy. The osteocutaneous scapular flap was used to restore function (swallowing, chewing, speech and cheek projection) and the radial forearm flap to improve esthetic facial morphology. Minor ancillary procedures were subsequently necessary to achieve the final result (brow lift, tarsal straightening and facial lift).

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008409	Mastication	The act and process of chewing and grinding food in the mouth.	Chewing
D008437	Maxilla	One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS.	Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008441	Maxillary Neoplasms	Cancer or tumors of the MAXILLA or upper jaw.	Maxillary Neoplasm,Neoplasm, Maxillary,Neoplasms, Maxillary
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D003679	Deglutition	The act of taking solids and liquids into the GASTROINTESTINAL TRACT through the mouth and throat.	Swallowing,Deglutitions,Swallowings
D003758	Dental Implantation, Endosseous	Insertion of an implant into the bone of the mandible or maxilla. The implant has an exposed head which protrudes through the mucosa and is a prosthodontic abutment.	Dental Implantation, Osseointegrated,Endosseous Dental Implant Therapy,Endosseous Implantation,Osseointegrated Dental Implantation,Endosseous Dental Implantation,Implantation, Endosseous,Implantation, Endosseous Dental,Implantation, Osseointegrated Dental
D004954	Esthetics	The branch of philosophy dealing with the nature of the beautiful. It includes beauty, esthetic experience, esthetic judgment, esthetic aspects of medicine, etc.	Aesthetics
D005145	Face	The anterior portion of the head that includes the skin, muscles, and structures of the forehead, eyes, nose, mouth, cheeks, and jaw.	Faces
D005205	Fascia	Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.