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TUMOR MANDIBULA
REFERAT
Gambar 2.3 Reseksi Mandibula A. Dengan keterlibatan kondilus B.Tanpa pembuangan kondilus (Keith DA.
Atlas of Oral and Maxillofacial Surgery. Philadelphia; W.B. Saunders Company, 1992: 244)
HEMIMANDIBULEKTOMI
Gambar 2.3 Reseksi Mandibula A. Dengan keterlibatan kondilus B.Tanpa pembuangan kondilus (Keith DA.
Atlas of Oral and Maxillofacial Surgery. Philadelphia; W.B. Saunders Company, 1992: 244)
RECONSTRUCTION
PRINCIPLES
WITH THE NORMAL IN MIND, (A PLASTIC
SURGEON) MUST ANALYZE THE DEFECT
AND DETERMINE WHAT IS MISSING, WHAT
IS PRESENT, AND WHAT CAN BE USED TO
MAKE WHAT IS WANTED.
- RALPH MILLARD JR
MANDIBLE RECONSTRUCTRION
PRINCIPLES
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
DEFECT CLASSIFICATION
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
SOFT TISSUE
FLAPS
- LOCAL
- SUBMENTAL
FLAP
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
SOFT TISSUE FLAPS, REGIONAL, DELTOPECTORAL
FLAP
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
SOFT TISSUE FLAPS, REGIONAL, PM
MYOCUTANEOUS FLAP
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
FREE FASCIOCUTANEOUS or MUSCULOCUTAEOUS
FLAP
Radial Forearm Flap
Ulnar Forearm Flap,
Lateral Arm Flap,
Rectus Abdominis Musculocutaneous flap,
ALT flap,
Thoracodorsal atery perforatir flap,
Medial sural artery perforator flap.
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
BONE CARRYING FLAPS, PEDICLED
OSTEOCUTANEOUS
pectoralis major osetomuculocutaneous flap,
trapezius osteomusculocutaneous flap,
temporalis osteomuscular flap.
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
BONE CARRYING FLAPS, VASCULARIZED
OSTEOCUTANEOUS
Circumflex illiac osteocutanous flap,
Scapular osteomusculpcutaneous flap,
radius with radial forearm flap,
fibula osteoseptocutaneous flap.
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
BONE CARRYING FLAPS, VASCULARIZED
OSTEOCUTANEOUS
A: scapula
B: Ilium
C: radius
D : fibula
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
BONE CARRYING FLAPS, CIRCUMFLEX ILLIAC
OSTEOCUTANEOUS
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
BONE CARRYING FLAPS,
SCAPULAR
OSTEOMUSCULOCUTANE
OUS
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
BONE CARRYING FLAPS, FIBULA
OSTEOSEPTOCUTANEOUS
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
MANDIBLE DEFECT MICROVASCULAR RECONSTRUCTION
ALGORHYTM
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The left fibula osteocutaneous flap is transferred to left mandibular defect
type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The left fibula osteocutaneous flap is transferred to left mandibular defect
type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The left fibula osteocutaneous flap is transferred to left mandibular defect
type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The left fibula osteocutaneous flap is transferred to a right mandibular
defect type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The left fibula osteocutaneous flap is transferred to a right mandibular
defect type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The left fibula osteocutaneous flap is transferred to a right mandibular
defect type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The right fibula osteocutaneous flap is transferred to a left mandibular
defect type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The right fibula osteocutaneous flap is transferred to a left mandibular
defect type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
The right fibula osteocutaneous flap is transferred to a left mandibular
defect type II-a
Ming-Huei Cheng and Jung-Ju Huang. Oral cavity, tongue, and mandibular reconstructions. Nelligan Plastic Surgery
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