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  • Title: Immediate microvascular reconstruction of combined palatal and midfacial defects.
    Author: Shestak KC, Schusterman MA, Jones NF, Janecka IP, Sekhar LN, Johnson JT.
    Journal: Am J Surg; 1988 Oct; 156(4):252-5. PubMed ID: 3177744.
    Abstract:
    We describe a method for immediate one-stage reconstruction of combined palatal and midfacial defects using latissimus dorsi musculocutaneous free-tissue transfer. It has consistently provided healed wounds, restoration of palatal function, and preservation of facial contour while obviating the need for a palatal prosthesis. This reconstructive method, which uses only autogenous tissue, may offer a significant advantage in cases where more than a hemimaxillectomy is required, for compound defects resulting from the sacrifice of facial structures along with the maxillectomy, and in situations where the resection involves cranial base structures with a resultant need to separate the cranial contents from the oral and nasal cavities. Finally, it provides an alternative to prosthetic rehabilitation for the elderly patient with decreased or absent vision.
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