Management of Complications in Oral and Maxillofacial Surgery

15 Chapter 15Fig. 15.1. Pectoralis (PEC) major flap separation from recipient site, due t...Fig. 15.2. A case of forehead basal cell carcinoma that was managed with ell...Fig. 15.3. (a) Case of cutaneous basal cell carcinoma (BCC) that underwent e...Fig. 15.4. (a) Cervicofacial advancement flap was showing signs of tension o...Fig. 15.5. (a) Wound dehiscence of a near‐total lower lip reconstruction usi...Fig. 15.6. Basal cell carcinoma of the forehead. (a) Planned surgical resect...Fig. 15.7. (a) Melanoma of the cheek. (b) A 5‐mm margin is taken circumferen...Fig. 15.8. (a) Case of recurrent cutaneous scalp squamous cell carcinoma (SC...Figure 15.9 (a) Final results from an anterolateral thigh (ALT) flap for lar...

16 Chapter 16Fig. 16.1. Osteonecrosis of the jaw and pathological fracture status after o...Fig. 16.2. Nasogastric tube recoiled back at the esophagus and coming back t...Fig. 16.3. Right pneumothorax following rib harvest.Fig. 16.4. Postoperative fibula flap with early screw failure, plate fractur...Fig. 16.5. Plate exposure in an anterior mandibular defect reconstruction.

17 Chapter 17Fig. 17.1. (a) Near‐total flap loss of a pectoralis major myocutaneous flap ...Fig. 17.2. (a) Partial flap loss at most distal end of scalp rotational flap...Fig. 17.3. Fistula formation on the left side cause by partial flap loss of ...Fig. 17.4. Placement of V.A.C.® Therapy to the neck for closure of partial s...Fig. 17.5. (a) Massive hematoma after neck dissection causing dysphagia, dys...Fig. 17.6. (a) Mild free flap congestion due to neck hematoma. (b) Coagulate...Fig. 17.7. Near‐complete skin paddle loss of pectoralis major flap; underlyi...Fig. 17.8. Submental island flap demonstrating the preservation of the facia...Fig. 17.9. Paramedian forehead flap.Fig. 17.10. (a) Buccal fat flap harvested and inserted in posterior maxillar...

18 Chapter 18Fig. 18.1. (a) Radial forearm free flap harvest with the cephalic vein to im...Fig. 18.2. (a) Radial forearm free flap donor site with exposed tendon after...Fig. 18.3. (a, b) Fibula free flap harvest.Fig. 18.4. Fibula free flap skin paddle compromise due to venous congestion....Fig. 18.5. (a) Healing of a composite scapula flap site; note the initial mo...Fig. 18.6. (a) Intraoral radial forearm free flap compromise due to arterial...Fig. 18.7. (a) Latissimus dorsi free flap at postoperative day 0. (b) Note t...Fig. 18.8. Leech therapy for venous congestion of a free flap reconstruction...

19 Chapter 19Fig. 19.1. Panoramic radiograph demonstrating rampant caries post‐RT for T4a...Fig. 19.2. Intraoral photo demonstrating inability to open mouth (trismus) p...Fig. 19.3. 3D imaging findings of osteolytic nonspecific changes and periost...Fig. 19.4. Panoramic radiograph demonstrating osteolytic nonspecific bone ch...

20 Chapter 20Fig. 20.1. Spontaneous nerve regeneration.Fig. 20.2. Parachute nerve repair technique.Fig. 20.3. Nerve‐sharing technique. (a) Immediate nerve‐sharing procedure be...Fig. 20.4. Lateral window decortication.Fig. 20.5. Inadequate resection of neuromatous scar tissue. (a) Inadequate r...Fig. 20.6. Tension on nerve repair site and fascicular malalignment. (a) Dir...Fig. 20.7. Surgical nerve guide. (a) Virtual surgical planning (VSP) is used...Fig. 20.8. Sural nerve graft. (a) Left sural nerve harvest via a small incis...Fig. 20.9. VSP for nerve grafting.

21 Chapter 21Fig. 21.1 Highly specialized oral retractors allow for access to the orophar...Fig. 21.2 Postresection of the tonsil and tonsillar fossa. The underlying fa...Fig. 21.3 Prolonged tongue compression can result in tongue edema or necrosi...Fig. 21.4 Ligation of the lingual artery. Care is taken to retract and prote...Fig. 21.5 Preoperative computed tomography (CT) imaging demonstrates the abe...Fig. 21.6 Resection of the tongue base and the proximity of the endotracheal...Fig. 21.7 Tonsillar fossa and base of tongue resection for HPV‐positive squa...

22 Chapter 22Fig. 22.1. Total blockage of the Wharton duct. Axial (a) and coronal (b) Mul...Fig. 22.2. Sialendoscopic view of a duct perforation. Please note the amorph...Fig. 22.3. Immediate postoperative submandibular swelling. The patient must ...Fig. 22.4. Postoperative ranula (a) is usually treated first with unroofing ...Fig. 22.5. Repair of lingual nerve damage. The lingual nerve overlaps with t...Fig. 22.6. Postoperative hematoma. The hematoma should not be drained. The p...

23 Chapter 23Fig. 23.1 Mucocele examples a) small mucocele. b) large diffuse mucocele.Fig. 23.2 (a, b) PA palate tumor outline.Fig. 23.3 Oroantral fistula.Fig. 23.4 Palatal flap for immediate repair.Fig. 23.5 Buccal fat pad flap for fistula repair.Fig. 23.6 Salivary gland neoplasm of the buccal mucosa in the vicinity of th...Fig. 23.7 Sialolith at the ductal opening.Fig. 23.8 Axial cut computed tomography (CT) scan of sialolith within the gl...Fig. 23.9 Intraoral photo of duct and lingual nerve relationship at the ante...Fig. 23.10 Intraoral photo of ranula.Fig. 23.11 (a) Sagittal cut CT, (b) axial cut CT scans, and (c) facial image...

1 Cover Page

2 Title Page Management of Complications in Oral and Maxillofacial Surgery Second Edition Edited by Michael Miloro, DMD, MD, FACS Professor and Head Department of Oral and Maxillofacial Surgery University of Illinois at Chicago Chicago, Illinois Antonia Kolokythas, DDS, MSc, MSed, FACS Professor and Chair Department of Oral and Maxillofacial Surgery Ambulatory Director Oral and Maxillofacial Surgery and Hospital Dentistry Services AC‐4 Strong Memorial Hospital University of Rochester Eastman Institute for Oral Health Rochester, New York

3 Copyright

4 Dedication

5 Preface

6 List of Contributors

7 Table of Contents

8 Begin Reading

9 Index

10 WILEY END USER LICENSE AGREEMENT

1 iii

2 iv

3 v

4 xi

5 xi

6 xii

7 xiii

8 xiv

9 xv

10 xvi

11 xvii

12 xviii

13 1

14 2

15 3

16 4

17 5

18 6

19 7

20 8

21 9

22 10

23 11

24 12

25 13

26 14

27 15

28 16

29 17

30 18

31 19

32 20

33 21

34 22

35 23

36 25

37 26

38 27

39 28

40 29

41 30

42 31

43 32

44 33

45 34

46 35

47 36

48 37

49 38

50 39

51 40

52 41

53 42

54 43

55 44

56 45

57 46

58 47

59 48

60 49

61 50

62 51

63 52

64 53

65 54

66 55

67 56

68 57

69 58

70 59

71 60

72 61

73 62

74 63

75 64

76 65

77 66

78 67

79 68

80 69

81 70

82 71

83 72

84 73

85 74

86 75

87 76

88 77

89 78

90 79

91 80

92 81

93 82

94 83

95 84

96 85

97 86

98 87

99 88

100 89

101 90

102 91

103 92

104 93

105 94

106 95

107 96

108 97

109 98

110 99

111 100

112 101

113 102

114 103

115 104

116 105

117 107

118 108

119 109

120 110

121 111

122 112

123 113

124 114

125 115

126 116

127 117

128 118

129 119

130 120

131 121

132 122

133 123

134 124

135 125

136 126

137 127

138 128

139 129

140 130

141 131

142 132

143 133

144 134

145 135

146 136

147 137

148 138

149 139

150 140

151 141

152 142

153 143

154 144

155 145

156 146

157 147

158 148

159 149

160 150