Consistent Value of Two-Stage Pedicle Flaps in the Age of Microsurgical Maxillofacial Reconstruction

Frohwitter G, Lutz R, Baran C, Weber M, Nobis CP, Rau A, Kesting MR (2021)

Publication Type: Journal article

Publication year: 2021

Journal

Journal of Maxillofacial and Oral Surgery Springer India

Abstract

Introduction: Up to the second half of the twentieth century, pedicled flaps marked the gold standard in reconstructive surgery. Followed by the introduction of microsurgical techniques, these flaps were increasingly abandoned. We conducted a retrospective study to determine the value of two-stage pedicle flaps in modern maxillofacial reconstruction. Material & Methods: A chart review from October 2017 to November 2020 was performed to identify patients who were treated by a two-stage pedicle flap in our Department of Oral and Maxillofacial Surgery. Results: A total of 31 patients, 17 female and 14 males received 36 two-stage pedicle flaps. All patients were in noticeably impaired health condition with a majority of ASA-score 3. The defect location mainly contained extraoral resections (58.3%). A variety of flaps were harvested consisting of buccal flaps, Abbe flaps, forehead flaps, deltopectoral flaps, nasolabial flaps, and a tubed flap. Discussion: The study outlines two indications for the use of two-stage pedicle flaps. Firstly, as a back-up strategy in heavily pre-treated wound beds and secondly in an almost contrarily indication as a first-choice reconstructive option of the facial skin in esthetic demanding cases. Conclusion: The timesaving and straight forward surgical approach as well as their low postsurgical complications and strong long-time success rates secure the two-stage pedicle flap a justified niche role in times of microsurgical maxillofacial reconstruction.

Authors with CRIS profile

Gesche Frohwitter Department of Oral and Cranio-Maxillofacial Surgery Rainer Lutz Medizinische Fakultät Christoph Baran Department of Oral and Cranio-Maxillofacial Surgery Christopher-Philipp Nobis Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie Marco Rainer Kesting Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie

Involved external institutions

Universitätsmedizin Greifswald / Universitätsklinikum Greifswald

Germany (DE)

How to cite

APA:

Frohwitter, G., Lutz, R., Baran, C., Weber, M., Nobis, C.-P., Rau, A., & Kesting, M.R. (2021). Consistent Value of Two-Stage Pedicle Flaps in the Age of Microsurgical Maxillofacial Reconstruction. Journal of Maxillofacial and Oral Surgery. https://doi.org/10.1007/s12663-021-01635-9

MLA:

Frohwitter, Gesche, et al. "Consistent Value of Two-Stage Pedicle Flaps in the Age of Microsurgical Maxillofacial Reconstruction." Journal of Maxillofacial and Oral Surgery (2021).

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