ÖZET
Amaç:
Maksiller kemik orta yüzün iskeletsel desteğini oluşturmakla beraber, kemik doku kullanılmadan da orta yüz rekonstrüksiyonu yapılabilir. Bu amaçla orta yüz bölgesinin orta ila şiddetli boyutlardaki (Brown ve Shaw 4-6) defektlerinde kas deri serbest flebini kullandık.
2013-18 yılları arasında ardışık 10 vaka için retrospektif analiz yapıldı. Olguların yedisi onkolojik rezeksiyon, üçü travma nedenli idi. Tüm olgularda serbest vertikal rektus abdominis kas deri flebi kullanıldı.
Yöntemler:
Hastaların yaş ortalaması 42,9 idi (20-71). İki flepte deri adasında küçük problemler dışında tüm flepler sorunsuz iyileşti. Bu çalışmada, hızlı iyileşme, düşük morbidite, kabul edilebilir oral yetkinlik ve tatmin edici kozmetik görünüm elde edildi.
Sonuç:
Sınırlı tecrübemize göre, orta yüzün kemik içeren orta-geniş defektlerinde sadece yumuşak doku içeren rekonstrüksiyon kabul edilebilir bir seçenektir.
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