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...
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Format: | Article |
Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2002-01-01
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Series: | Vojnosanitetski Pregled |
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Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2002/0042-84500204363J.pdf |
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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 |