TRANSPLANTATION METHODS FOR CORRECTION OF MANDIBULAR SOFT TISSUE DEFECTS

Abstract

Goal: This paper aims to identify optimal transplantation methods for correcting soft tissue defects of the face and mandible based on our medical records and study of up-to-date research literature. Materials and methods: The analysis of standard transplantation procedures was carried out, as well as research of patients charts with extensive defects of the lower jaw at the department of maxillofacial surgery of a Moscow oncological hospital. There was a comparative analysis of the following most popular methods of correction of soft tissue defects of the face and lower jaw: Trapezoidal flap Filatov and H.D. Gillies stem grafting Deltopectoral flap Thoracodorsal flap Temporal parietal flap - Lexer and Esser method Results: Plastic surgery with complex grafts on the neurovascular pedicle is used in the surgical treatment of injuries and diseases of the mandible, which are accompanied by deep defects in the soft tissues of the face and bones of the mandible. The most optimal methods for restoring the anatomical integrity of the mandible, which is necessary for adaptation of the patient in society, and restoration of speech and chewing functions have been identified. Conclusion: Nowadays, the most common and effective methods in the world of eliminating mandibular defects by transplantation are considered to be Lexer’s method (temporal parietal flap), transplantation of the delto-pectoral flap, as well as thoracodorsal on feeding pedicle. The clinical researches conducted in the Moscow Oncological Hospital confirmed generally successful outcomes without complications.