[Indications and technic of microvascular small intestine transplantation in combination with the usual technics of facial soft tissue and craniofacial reconstruction].

The authors report their experiences with 62 patients with extensive defects of the oral mucosa replaced by jejunal grafts. They focus on the possibilities of combining the jejunal grafts with traditional methods of replacing bone and soft tissue in the maxillo facial region. Various techniques of combined reconstructions of different parts of the maxilla and the face are discussed and the results are presented. The problem of the jejunal graft in the maxillo facial region is the connection of the veins in the recipient site. Usually only the superior thyroid vein is available and it shows great anatomical variations. The transplantation of jejunal grafts is a technique which is indicated in many cases. It allows the functional replacement of intraoral mucosa with an almost unlimited supply of substitute tissue and with strong mesenteric arteries and veins which are to a large extent congruent with the neck vessels.