The intraoral anastomosing technique in reconstructive surgery of the face - A consecutive case series of 70 patients

Abstract

Introduction: New techniques in microvascular flap transfer result in new indications for reconstructive treatment of facial defects. In this study, the indications and success rate of an intraoral anastomosing technique in facial reconstruction were examined.

Methods: Seventy patients with intraoral defects or central midface defects were reconstructed with the use of microvascular flaps. Anastomoses were performed by an intraoral anastomosing technique. Indications for the use of this technique, types of flaps, complications and problems were evaluated.

Results: Except for 5 reconstructions, all were performed to correct bone defect coverage of the jaws. All anatomising procedures worked without severe intraoperative problems. There was one total flap loss caused by venous congestion, and two partial losses not associated with the anastomosing technique. There were no other complications or problems.

Conclusions: The main indications for the use of intraoral anastomosing techniques are alveolar ridge reconstruction in patients with defects not caused by a malignant tumour and central midface reconstruction in the case of short flap pedicle. The success rate of the intraoral anastomosing technique is similar to that of extraoral techniques reported in the literature.

Keywords: Face; Head and neck surgery; Intraoral reconstruction; Microvascular anastomosis.