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  Vol. 126 No. 7, July 2000 TABLE OF CONTENTS
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  Clinical Challenges in Otolaryngology
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Changing Concepts in Soft Tissue Repair of Oral and Oropharyngeal Defects

Arch Otolaryngol Head Neck Surg. 2000;126:912.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Over the past 15 to 20 years there has been a renaissance in the techniques and tissue types used to repair soft tissue defects in the oral cavity and oropharynx following ablation of malignant neoplasms. Initially, pedicled cutaneous flaps were used, and then these were replaced by pedicled regional myocutaneous flaps. The second phase of reconstruction began with the advent of microvascular surgery and free tissue transfer. The third phase, however, includes further refinement of flaps, with reinnervation and improved function and esthetics.


 
Figure appears in full text version.
Patrick J. Gullane, MD


Drs Abemayor and Blackwell address the above 3 phases of reconstruction and compare the quality of free tissue transfer with that of regional flaps, finding the free tissue transfer to be superior. Their comparison and contrast is very complete. The many advantages of the radial fasciocutaneous free tissue transfer include thinness and pliability of the tissue, ease of insetting, and the ability of . . . [Full Text of this Article]



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Anterolateral Thigh Flap: Radial Forearm's "Big Brother" for Extensive Soft Tissue Head and Neck Defects
Lueg
Arch Otolaryngol Head Neck Surg 2004;130:813-818.
ABSTRACT | FULL TEXT  





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