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Wange

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Rekonstruktive Kopf-Hals-Chirurgie

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Zusammenfassung

Die Wange ist die größte und gleichmäßigste ästhetische Einheit des Gesichts. Die Rekonstruktion soll ein möglichst gutes ästhetisches und funktionelles Ergebnis liefern. Bei der Rekonstruktion muss der Chirurg deshalb in Abhängigkeit von Defektgröße und -lokalisation sowie patientenspezifischen Voraussetzungen sorgfältig zwischen verschiedenen möglichen Alternativen auswählen. Die einfachste Form der Rekonstruktion ist die Dehnungsplastik entlang der Hautspannungslinien (RSTL). Freie Hauttransplantate spielen eine untergeordnete Rolle. Bei den lokalen Lappenplastiken kann, auch in Abhängigkeit von der persönlichen Erfahrung, auf eine große Vielfalt wie den Transpositionslappen, den Limberg-Lappen und den anterior oder posterior gestielten zervikofazialen Rotationsverschiebelappen in ihren verschiedenen Modifikationen zurückgegriffen werden. Bei sehr großflächigen und tiefen oder perforierenden Defekten sind mikrovaskuläre Transplantate die beste Lösung.

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Tübingen, Tübingen, Deutschland

    Michael Krimmel Prof. Dr. med. Dr. med. dent. & Siegmar Reinert Prof. Dr. med. Dr. med. dent.

Authors
  1. Michael Krimmel Prof. Dr. med. Dr. med. dent.
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  2. Siegmar Reinert Prof. Dr. med. Dr. med. dent.
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Corresponding author

Correspondence to Michael Krimmel Prof. Dr. med. Dr. med. dent. .

Editor information

Editors and Affiliations

  1. HNO, Universität Ulm HNO, Ulm, Deutschland

    Thomas Hoffmann

  2. Klinik und Poliklinik für MKG-Chirurgie, Universitätsklinikum Heidelberg Klinik und Poliklinik für MKG-Chirurgie, Heidelberg, Deutschland

    Jürgen Hoffmann

  3. Universitätsmedizin Mannheim, Neurochirurgische Klinik Universitätsmedizin Mannheim, Mannheim, Deutschland

    Daniel Hänggi

  4. Hals-, Nasen- und Ohrenklinik, Justus-Liebig-Universität Gießen Hals-, Nasen- und Ohrenklinik, Gießen, Hessen, Deutschland

    Jens Peter Klußmann

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Krimmel, M., Reinert, S. (2023). Wange. In: Hoffmann, T., Hoffmann, J., Hänggi, D., Klußmann, J.P. (eds) Rekonstruktive Kopf-Hals-Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58252-7_10

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  • DOI: https://doi.org/10.1007/978-3-662-58252-7_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58251-0

  • Online ISBN: 978-3-662-58252-7

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