Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts

Combat wounds are basically extensive and destructive. Such injuries cause defects of soft and bone structures of the face and neck. During primary surgical management of maxillofacial combat wounds the principle of minimal bone and soft tissue debridement was respected. Definitive reconstruction of...

Full description

Bibliographic Details
Main Author: Jović Nebojša
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2002-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500204363J.pdf
_version_ 1818303583407308800
author Jović Nebojša
author_facet Jović Nebojša
author_sort Jović Nebojša
collection DOAJ
description Combat wounds are basically extensive and destructive. Such injuries cause defects of soft and bone structures of the face and neck. During primary surgical management of maxillofacial combat wounds the principle of minimal bone and soft tissue debridement was respected. Definitive reconstruction of the defect was performed after two or three months, when infection was cured and adjacent tissues were restituted. Each combat wound leaves behind fibrous changes in surrounding tissues. Success of the reconstructive procedures is more certain if flaps with its own blood supply are used, either arterial or vascularized grafts from the other parts of body (by microvascular technique). This paper presents our experiences with galeal flap in reconstruction of facial soft tissue defects, as well as galea, together with external table of parietal bone in reconstruction of soft and bony tissues of maxillofacial region in 15 patients.
first_indexed 2024-12-13T05:57:06Z
format Article
id doaj.art-755a5aa1ae4a437fb887765b3771e331
institution Directory Open Access Journal
issn 0042-8450
language English
last_indexed 2024-12-13T05:57:06Z
publishDate 2002-01-01
publisher Military Health Department, Ministry of Defance, Serbia
record_format Article
series Vojnosanitetski Pregled
spelling doaj.art-755a5aa1ae4a437fb887765b3771e3312022-12-21T23:57:25ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502002-01-0159436336710.2298/VSP0204363JReconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony graftsJović NebojšaCombat wounds are basically extensive and destructive. Such injuries cause defects of soft and bone structures of the face and neck. During primary surgical management of maxillofacial combat wounds the principle of minimal bone and soft tissue debridement was respected. Definitive reconstruction of the defect was performed after two or three months, when infection was cured and adjacent tissues were restituted. Each combat wound leaves behind fibrous changes in surrounding tissues. Success of the reconstructive procedures is more certain if flaps with its own blood supply are used, either arterial or vascularized grafts from the other parts of body (by microvascular technique). This paper presents our experiences with galeal flap in reconstruction of facial soft tissue defects, as well as galea, together with external table of parietal bone in reconstruction of soft and bony tissues of maxillofacial region in 15 patients.http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500204363J.pdffacial injuriesmaxillofacial injuriessurgical procedures, operativesurgical flapsmilitary medicine
spellingShingle Jović Nebojša
Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
Vojnosanitetski Pregled
facial injuries
maxillofacial injuries
surgical procedures, operative
surgical flaps
military medicine
title Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
title_full Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
title_fullStr Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
title_full_unstemmed Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
title_short Reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
title_sort reconstruction of facial defects after combat wounding using vascularized pedicled galeal and parietal bony grafts
topic facial injuries
maxillofacial injuries
surgical procedures, operative
surgical flaps
military medicine
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500204363J.pdf
work_keys_str_mv AT jovicnebojsa reconstructionoffacialdefectsaftercombatwoundingusingvascularizedpedicledgalealandparietalbonygrafts