Secondary reconstruction of the short philtrum in the bilateral cleft deformity

1990 ◽  
Vol 13 (2) ◽  
Author(s):  
I.T. Jackson ◽  
S. Lincenberg
Keyword(s):  
Secondary Reconstruction ◽  
Short Philtrum

Secondary Reconstruction of Orbital Walls after Craniofacial Trauma

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
F. Neukam ◽  
E. Nkenke
Keyword(s):  
Secondary Reconstruction ◽  
Craniofacial Trauma

scholarly journals Salvage Secondary Reconstruction of the Mandible with Vascularized Fibula Flap

2019 ◽  
Vol 12 (4) ◽  
pp. 274-283
Author(s):  
Dinesh Kadam
Keyword(s):  
Soft Tissue ◽  
Tissue Loss ◽  
Successful Outcome ◽  
Primary Reconstruction ◽  
Reconstruction Plate ◽  
Secondary Reconstruction ◽  
Fibula Flap ◽  
Skeletal Defects ◽  
Vascularized Fibula ◽  
Free Fibula

Primary restoration of the mandibular continuity remains the standard of care for defects, and yet several constraints preclude this objective. Interim reconstructions with plate and nonvascular bone grafts have high failure rates. The secondary reconstruction, when becomes inevitable, remains a formidable task. This retrospective study evaluates various issues to address secondary reconstruction. Twenty-one patients following mandibulectomy presented with various complications between 2012 and 2016 were included in the study. The profile of primary reconstruction includes reconstruction plate ( n = 9), reconstruction plate with rib graft ( n = 3), soft tissue only reconstruction ( n = 4), free fibula ( n = 2), inadequate growth of reconstructed free fibula during adolescence ( n = 1), nonvascular bone graft alone ( n = 1), and no reconstruction ( n = 1). All had problems or complications related to unsatisfactory primary reconstruction such as plate fracture, recurrent infection, plate exposure, deformity, malocclusion, and failed fibula reconstruction. All were reconstructed with osteocutaneous free fibula flap with repair of soft-tissue loss. All flaps survived and had satisfactory outcome functionally and aesthetically. Dental rehabilitation was done in four patients. One flap was reexplored for thrombosis and salvaged. The challenges in secondary reconstruction include difficulty in recreating true defects, extensive fibrosis and loss of planes, unanticipated soft-tissue and skeletal defects, reestablishing the contour and occlusion, insufficient bone strength, dearth of suitable recipient vessels, nonpliable skin, tissue contraction to accommodate new mandible, need of additional flap for defect closure, and postirradiation effects. Notwithstanding them, the reasonable successful outcome can be attainable.

Immediate and secondary reconstruction of the floor of the mouth and mobilization of the tongue by a new technic

1962 ◽  
Vol 104 (5) ◽  
pp. 727-731 ◽  
Author(s):  
Philip F. Corso ◽  
Frank P. Gerold
Keyword(s):  
Secondary Reconstruction ◽  
Floor Of The Mouth

Computer-Assisted Secondary Reconstruction of Unilateral Posttraumatic Orbital Deformity

2002 ◽  
Vol 110 (6) ◽  
pp. 1417-1429 ◽  
Author(s):  
Nils-Claudius Gellrich ◽  
Alexander Schramm ◽  
Beat Hammer ◽  
Sergio Rojas ◽  
Daniel Cufi ◽  
...  
Keyword(s):  
Computer Assisted ◽  
Secondary Reconstruction

Secondary reconstruction in complex hand injuries

2014 ◽  
pp. 197-197
Author(s):  
Tahseen Cheema
Keyword(s):  
Hand Injuries ◽  
Secondary Reconstruction
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