Management of Palatal Defects after Free-Flap Reconstruction and Radiotherapy

Wesley McIlwain; Jared Inman; Arya Namin; Aasif Kazi; Christopher Shumrick; Yadranko Ducic

doi:10.1055/s-0042-1759797

Seminars in Plastic Surgery, Inhaltsverzeichnis

Semin Plast Surg 2023; 37(01): 039-045
DOI: 10.1055/s-0042-1759797

Review Article

Management of Palatal Defects after Free-Flap Reconstruction and Radiotherapy

Wesley McIlwain

¹Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

,

Jared Inman

²Otolaryngology/Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California

,

Arya Namin

¹Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

,

Aasif Kazi

²Otolaryngology/Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California

,

Christopher Shumrick

³Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts

,

Yadranko Ducic

¹Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

› Institutsangaben

Abstract

Palatal fistulas have significant effects on quality of life. Traditional prosthetic rehabilitation and surgical reconstruction of palate defects in radiation-naïve tissues are well described. However, palatal fistulas developing after initial tumor extirpation, free-flap reconstruction, and adjuvant radiation or chemoradiation are associated with challenging secondary tissue effects. In this review, we will discuss the management of palatal fistulas after surgical reconstruction and radiotherapy.

Keywords

palatal fistula - oronasal fistula - midface reconstruction - maxillary reconstruction - radiotherapy complications - free-flap complications

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Referenzen

References
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