Biologics and acellular dermal matrices in head and neck reconstruction: A comprehensive review

Author(s):  
Shivam Patel ◽  
Kasra Ziai ◽  
Jessyka G. Lighthall ◽  
Scott G. Walen
2017 ◽  
Vol 131 (7) ◽  
pp. 585-592 ◽  
Author(s):  
A Hui ◽  
P Hong ◽  
M Bezuhly

AbstractBackground:Acellular dermal matrices are increasingly used in laryngotracheal and pharyngeal reconstruction, but specific indications and the type of acellular dermal matrix used vary. The authors systematically reviewed outcomes relating to acellular dermal matrix use in head and neck reconstruction.Methods:Electronic databases were searched through 1 May 2016 for literature on acellular dermal matrix use in laryngotracheal and pharyngeal reconstruction. Studies were appraised for surgical indications, outcomes and study design.Results:Eleven publications with 170 cases were included. Eight articles reported on acellular dermal matrix use in oncological reconstruction. Most studies were case series; no high-level evidence studies were identified. Graft extrusion was more common in non-oncological applications. In general, post-oncological reconstruction with an acellular dermal matrix demonstrated complication rates similar to those reported without an acellular dermal matrix.Conclusion:Evidence in support of acellular dermal matrix use in head and neck reconstruction is generally poor. Prospective comparative studies are required to define the indications, safety and effectiveness of acellular dermal matrices in laryngotracheal and pharyngeal reconstruction.


Author(s):  
Hope Xu ◽  
Leila Jazayeri ◽  
Evan Matros ◽  
Peter W. Henderson

AbstractSuccessful microvascular reconstruction of head and neck defects requires the ability to safely identify, isolate, and utilize recipient vessels. To date, however, a comprehensive review of the anatomy and techniques relevant to the available anatomic regions has not been undertaken. This review covers the relevant clinical anatomy of the anterior triangle, posterior triangle, submandibular region, intraoral region, preauricular region, chest, and arm, taking particular care to highlight the structures that are crucial to identify while performing each dissection. Finally, a step-by-step technique for safely dissecting the recipient vessels at each site is provided.


2006 ◽  
Vol 22 (03) ◽  
Author(s):  
G. Pons ◽  
J. Masia ◽  
J. Sancho ◽  
J. Larrañaga ◽  
P. Serret

2021 ◽  
pp. 100330
Author(s):  
Alyssa Ovaitt ◽  
Matthew Fort ◽  
Kirk Withrow ◽  
Brian Hughley

Microsurgery ◽  
2021 ◽  
Author(s):  
Chih‐Sheng Lai ◽  
Ching‐Hui Shen ◽  
Yi‐Ting Chang ◽  
Shih‐An Liu ◽  
Chen‐Te Lu ◽  
...  

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