Extended deep inferior epigastric artery perforator flap for head and neck reconstruction: A clinical experience with 100 patients

Masià, Jaume; Sommario, M.; Cervelli, Daniele; Vega, Carmen; León, Xavier; Pons, Gemma

doi:10.1002/hed.21628

Cited by 31 publications

(17 citation statements)

References 36 publications

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“…With the development of microsurgery, all kinds of free flaps are used in tongue reconstruction. At present, RFF flaps [15,16], ALT flaps [13,17], LAF flaps [8,18], perforator flaps from the lower leg [19 ]and DIEP flaps [20]are also utilized in tongue reconstruction. Postoperative speech function and swallowing function quality depend on the strength, volume, and flexibility of the remaining tongue and flap repair.…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis of the functional results of tongue reconstruction with four kinds of free flaps after radical resection of tongue cancer

Cai

Zeng

et al. 2020

Preprint

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BackgroundSurgery is still the treatment of choice for tongue cancer. Tongue reconstruction should be performed immediately after extensive resection of the tumor, which will affect the patient's function. The purpose of this study was to investigate the functional evaluation of four different free flaps in tongue reconstruction after a tongue cancer operation. Methods Forty-eight cases of tongue reconstruction with a radial forearm free(RFF flap), anterolateral thigh(ALT) flap, lateral upper arm free(LAF)flap and deep inferior epigastric artery perforator(DIEP)flap from 2014 to 2018 were analyzed. The speech function, swallowing function, tongue flexibility and patients' satisfaction with the donor area was investigated six months after repair. ResultsTwenty-one cases with RFF flaps, 18 cases with ALT flaps, 5 cases with LAF flaps and 4 cases with DIEP flaps showed complete flap survival. Speech function:39.6% of the patients exhibited normal speech, 43.8% of the patients exhibited near-normal speech, the RFF flap group was showed better recovery than did the other three groups ( p =0. 195). The degree of tongue flexibility: 37.5% of the patients with normal postoperative tongue flexibility, 43.6% of the patients with slightly limited tongue flexibility,, 16.7% of the patients with severely limited tongue flexibility, The flexibility of the RFF flap was better than that of the other three groups( p =0. 054). Swallowing function:47.9% of the patients had a regular diet, 33.3% of the patients had soft foods, 16.7% patients receive fluid diet, The RFF flap group showed better recovery than did the other three groups ( p =0. 248). Donor satisfaction: 56.2% of the patients were satisfied, 41.7% of the patients were basically satisfied, 100% of the patients with LAF and DIEP flaps were satisfied. This level of satisfaction was better than that in the RFF and ALT flap groups. ( p =0. 039). ConclusionThe functional recovery of RFF flap in tongue reconstruction after middle and early stage tongue cancer surgery is better. However, ALT flap has been used more frequently for a large number of

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Section: Discussionmentioning

confidence: 99%

Comparative analysis of the functional results of tongue reconstruction with four kinds of free flaps after radical resection of tongue cancer

Cai

Zeng

et al. 2020

Preprint

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“…Another perforator flap 8 Masia et al, 28 Hamdi et al, 34 Levine et al, 55 Flores et al 62 Latissimus dorsi flap ± implant 7 Andree et al, 35 Tønseth et al, 63 Tønseth et al, 64 Dragu et al 65 letter suffixes after the overall grade to indicate involvement of skin and/or fat in the necrosis, allowing this classification system to unambiguously cover both "partial (skin) necrosis" and "fat necrosis." For example, grade If flap necrosis involves less than 5 percent flap volume of fat-only necrosis, whereas grade IIIsf flap necrosis involves up to 50 percent of flap loss involving both skin and fat.…”

Section: No Referencesmentioning

confidence: 98%

“…DIEP total failure rate ranges from 0 percent [24][25][26] to 10 percent 27 in the literature, with most larger series including more than 30 DIEP flaps reporting rates of less than 3 percent. [28][29][30] The largest number of total flap failures in any given series is 11 (2 percent) of 564 DIEP flaps. 31 This article is composed of two parts.…”

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confidence: 99%

A Classification System for Partial and Complete DIEP Flap Necrosis Based on a Review of 17,096 DIEP Flaps in 693 Articles Including Analysis of 152 Total Flap Failures

Lie

Barker

Ashton

2013

Plastic and Reconstructive Surgery

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“…The inferior epigastric artery perforator flaps are exceedingly used in head and neck (Masià et al, 2011), breast reconstruction (Karunanithy et al, 2011) and scar surgeries (Shang et al, 2011). The inferior epigastric artery is known to have variations in its origin.…”

Section: Discussionmentioning

confidence: 99%

Unusual Branches of Femoral Artery in the Femoral Triangle: A Case Report

et al. 2013

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SUMMARY:Femoral artery is the major artery of the lower limb. It shows some variations in its branching pattern. One of the rare but clinically important variations is the origin of deep circumflex iliac and inferior epigastric arteries from it instead of from external iliac artery. We report here the origin of inferior epigastric and deep circumflex iliac arteries from the femoral artery bilaterally. Both the arteries passed up deep to the inguinal ligament and had a normal course and distribution after crossing the inguinal ligament. Knowledge of these variations is of importance in plastic surgery, anterior approach to the hip joint, draining psoas abscess or reducing a femoral hernia.

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Extended deep inferior epigastric artery perforator flap for head and neck reconstruction: A clinical experience with 100 patients

Abstract: The extended DIEP flap is reliable, has a safe vascular supply, and has a long pedicle. Its versatility makes it suitable for reconstruction of moderate to large head and neck reconstruction.

Cited by 31 publications

References 36 publications

Comparative analysis of the functional results of tongue reconstruction with four kinds of free flaps after radical resection of tongue cancer

Comparative analysis of the functional results of tongue reconstruction with four kinds of free flaps after radical resection of tongue cancer

A Classification System for Partial and Complete DIEP Flap Necrosis Based on a Review of 17,096 DIEP Flaps in 693 Articles Including Analysis of 152 Total Flap Failures

Unusual Branches of Femoral Artery in the Femoral Triangle: A Case Report

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