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Current Concepts for Reconstruction of Oral Tissues Following Ablative Surgery: A Comprehensive Approach

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Abstract

Appropriate concepts of reconstruction can eliminate contraindications, reduce the incidence of complications, increase the success rates, and promote the outcomes. Besides, appropriate concepts can also help economical use of expensive technology or assistant tools on the patients who are necessary and beneficial. This paper provides a comprehensive approach to select reconstructive methods for oral defects following ablative surgery. A comprehensive approach should have a thorough understanding of the reconstructive goals, the patient’s information, the surgeon’s ability, and the hospital’s support. To achieve a basic structural and functional restoration of oral cavity, “reconstruction ladder” could be skipped to free flap transfer. Goal-oriented thinking process with rethinking the feasibility assessment can help the surgeon to find the most appropriate method of reconstruction. Appropriate methods can mostly achieve the above-average results and rarely lead to inadequate results. Current concepts for reconstruction of oral tissue are the balance between maximal outcome and minimal complication, maximal accuracy and minimal cost, maximal efficacy and minimal investment. A comprehensive approach to select flap, a reliable method to harvest flap, and a customized flap design/inset are keystones to achieve a relatively better outcome. The awesome of limitations from the surgeon’s ability, hospital’s support, and the patient’s condition can minimize the complications.

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Acknowledgements

This research is supported by Chang Gung Memorial Hospital and Chang Gung University College of Medicine.

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Authors and Affiliations

  1. Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-Hsing St. Kuei-Shan, Taoyuan, Taiwan

    Chung-Kan Tsao, David Chon-Fok Cheong & Shao-Yu Hung

  2. Department of Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India

    Adarsh kudva

  3. Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan

    Chung-Kan Tsao, David Chon-Fok Cheong & Shao-Yu Hung

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  1. Chung-Kan Tsao
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  2. Adarsh kudva
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  3. David Chon-Fok Cheong
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  4. Shao-Yu Hung
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Correspondence to Chung-Kan Tsao.

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Tsao, CK., kudva, A., Cheong, D.CF. et al. Current Concepts for Reconstruction of Oral Tissues Following Ablative Surgery: A Comprehensive Approach. J. Maxillofac. Oral Surg. 21, 358–368 (2022). https://doi.org/10.1007/s12663-022-01704-7

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  • DOI: https://doi.org/10.1007/s12663-022-01704-7

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