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Fibula osteo-adipofascial flap for reconstruction of a cervical spine and posterior pharyngeal wall defect
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Oral and Maxillofacial Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery.
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2014 (English)In: Microsurgery, ISSN 0738-1085, E-ISSN 1098-2752, Vol. 34, no 4, 314-318 p.Article in journal (Refereed) Published
Abstract [en]

When reconstructing combined defects of the cervical spine and the posterior pharyngeal wall the goals are bone stability along with continuity of the aerodigestive tract. We present a case of a patient with a cervical spine defect, including C1 to C3, associated with a posterior pharyngeal wall defect after excision of a chordoma and postoperative radiotherapy. The situation was successfully solved with a free fibula osteo-adipofascial flap. The reconstruction with a fibula osteo-adipofascial flap provided several benefits in comparison with a fibula osteo-cutaneous flap in our case, including an easier insetting of the soft tissue component at the pharyngeal level and less bulkiness of the flap allowing our patient to resume normal deglutition.

Place, publisher, year, edition, pages
2014. Vol. 34, no 4, 314-318 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-216206DOI: 10.1002/micr.22217ISI: 000333808000012PubMedID: 24375861OAI: oai:DiVA.org:uu-216206DiVA: diva2:689227
Available from: 2014-01-20 Created: 2014-01-20 Last updated: 2017-12-06Bibliographically approved

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Rodriguez-Lorenzo, AndresRydevik Mani, MariaThor, AndreasGudjonsson, OlafurMarklund, NiklasOlerud, ClaesEkberg, Tomas

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Rodriguez-Lorenzo, AndresRydevik Mani, MariaThor, AndreasGudjonsson, OlafurMarklund, NiklasOlerud, ClaesEkberg, Tomas
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Plastic SurgeryOral and Maxillofacial SurgeryNeurosurgeryOrthopaedicsOtolaryngology and Head and Neck Surgery
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