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'Sandwich' Technique For Craniomaxillofacial Defect Repair Using The Alt

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Bibliographic Details
Title: 'Sandwich' Technique For Craniomaxillofacial Defect Repair Using The Alt
Authors: Xi Zhou, Feng Yunzhi
Source: International Dental Journal, Vol 75, Iss , Pp 105743- (2025)
Publisher Information: Elsevier, 2025.
Publication Year: 2025
Collection: LCC:Dentistry
Subject Terms: advanced buccal cancer, radical resection, anterolateral thigh, chimeric myocutaneous flap, craniomaxillofacial, Dentistry, RK1-715
Description: Aim or purpose: Radical resection is a key step in the treatment of advanced buccal cancer. Improper restoration of the complicated defects of advanced buccal cancer resection often leads to serious complications. To meet the tissue requirements of the recipient area, we propose the modified “sandwich” technique using the anterolateral thigh (ALT) chimeric myocutaneous flap. Through a three-dimensional design, we made full use of the flap to reasonably repair the defect. Materials and methods: Data from 120 patients with locally advanced buccal cancer were collected; 60 patients were treated using the conventional method, and 60 patients were treated using the “sandwich” technique. The perioperative recovery of patients was recorded after the operation. In addition, postoperative function, appearance changes, and quality of life of the patients were regularly evaluated during the postoperative follow-up. Results: The overall 5-year survival rate was 55.83%, 58.33% in the sandwich group, and 53.33% in the conventional group (P = 0.50). The “sandwich” technique was superior to the conventional method in terms of postoperative complications: wound infection (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0020-6539
Relation: http://www.sciencedirect.com/science/article/pii/S0020653925050269; https://doaj.org/toc/0020-6539
DOI: 10.1016/j.identj.2025.105743
Access URL: https://doaj.org/article/6f27823c1d4c4244974885d609bd656f
Accession Number: edsdoj.6f27823c1d4c4244974885d609bd656f
Database: Directory of Open Access Journals
Description
Abstract:Aim or purpose: Radical resection is a key step in the treatment of advanced buccal cancer. Improper restoration of the complicated defects of advanced buccal cancer resection often leads to serious complications. To meet the tissue requirements of the recipient area, we propose the modified “sandwich” technique using the anterolateral thigh (ALT) chimeric myocutaneous flap. Through a three-dimensional design, we made full use of the flap to reasonably repair the defect. Materials and methods: Data from 120 patients with locally advanced buccal cancer were collected; 60 patients were treated using the conventional method, and 60 patients were treated using the “sandwich” technique. The perioperative recovery of patients was recorded after the operation. In addition, postoperative function, appearance changes, and quality of life of the patients were regularly evaluated during the postoperative follow-up. Results: The overall 5-year survival rate was 55.83%, 58.33% in the sandwich group, and 53.33% in the conventional group (P = 0.50). The “sandwich” technique was superior to the conventional method in terms of postoperative complications: wound infection (P
ISSN:00206539
DOI:10.1016/j.identj.2025.105743