Oral and Oropharyngeal Reconstruction with a Free Flap

Jeong, Woo Shik; Oh, Tae Suk

doi:10.7181/acfs.2016.17.2.45

Cited by 11 publications

(5 citation statements)

References 31 publications

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“…The third consideration is the volume and shape of the reconstructed neo-tongue. Along with mobility of the neo-tongue, the volume of the selected flap option is also essential for optimizing deglutition, obliterating dead space, and preventing aspiration by diverting food and sa- Superior Inferior liva to the lateral gutters [43][44][45]. Fourth, in the context of concomitant defects of other oropharyngeal structures, depending on the preoperative tongue volume and the target postoperative volume, the chosen flap may greatly affect the overall functional outcomes of the reconstructed neo-tongue [2].…”

Section: Unique Points To Consider Regarding Tongue Reconstructionmentioning

confidence: 99%

Current status and evolution of microsurgical tongue reconstructions, part I

Choi

Alshomer

Kim

2022

Arch Craniofac Surg

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Reconstructive surgery in the management of head and neck cancer has evolved to include structure-specific approaches in which organ-specific treatment algorithms help optimize outcomes. Tongue cancer management and reconstruction are surgical challenges for which well-executed reconstructive plans should be completed promptly to avoid delaying any subsequently planned oncologic treatment. Crucial considerations in tongue cancer resection are the significant functional morbidity associated with surgical defects, particularly in terms of speech and swallowing, and the consequent negative impact on patients’ quality of life. With the evolution of microsurgical techniques and the development of the perforator flap concept, flap options can be tailored to the characteristics of various tongue defects. This has allowed the implementation of pliable flaps that can help restore tongue mobility and yield subsequent functional outcomes. Using an evolutional framework, we present this series of reviews related to tongue reconstruction. The first part of the review summarizes flap options and flap-related factors, such as volume and tissue characteristics. Related functional aspects are also presented, including tongue mobility, speech, and swallowing, as well as ways to evaluate and optimize these outcomes.

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Section: Unique Points To Consider Regarding Tongue Reconstructionmentioning

confidence: 99%

Current status and evolution of microsurgical tongue reconstructions, part I

Choi

Alshomer

Kim

2022

Arch Craniofac Surg

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“…Factors that can alter the operation time include the need for harmony among surgical teams, meticulous planning, and surgeons’ familiarity with each other, all of which may improve overall patient outcomes [ 3 ]. Moreover, surgical teams should function within a multidisciplinary approach that include other specialties involved in the care of tongue cancer patients, such as oncologists, dietitians, nursing specialists, speech and language pathologists, and rehabilitation teams [ 5 ].…”

Section: Technical Aspects Related To Tongue Reconstructionmentioning

confidence: 99%

Evolution and current status of microsurgical tongue reconstruction, part II

Choi¹,

Alshomer²,

Kim³

2022

Arch Craniofac Surg

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Tongue reconstruction remains a major aspect of head and neck reconstructive procedures. Surgeons planning tongue reconstruction should consider several factors to optimize the overall outcomes. Specifically, various technical aspects related to tongue reconstruction have been found to affect the outcomes. Multidisciplinary teams dedicated to oncologic, reconstructive, and rehabilitative approaches play an essential role in the reconstructive process. Moreover, operative planning addressing certain patient-related and defect-related factors is crucial for optimizing functional speech and swallowing, as well as quality of life outcomes. Furthermore, tongue reconstruction is a delicate process, in which overall functional outcomes result from proper flap selection and shaping, recipient vessel preparation and anastomosis, surgical approaches to flap insetting, and postoperative management. The second part of this review summarizes these factors in relation to tongue reconstruction.

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“…Ağız içi onarımının sağlanması için getirilecek serbest flepler ağız içinde dilin hareketini engellemeyecek ve şişkinlik yaratmayacak şekilde planlanmalı, hastanın yutma ve konuşma fonksiyonlarını bozmamalıdır. 3 Bu kriterleri karşılayan ve pratikte en çok kullanılan serbest flepler; radyal ön kol flebi, anterolateral uyluk flebi, mediyal sural arter perforatör flebi, sirkumfleks iliyak arter perforatör flebidir. Bu çalışmadaki amacımız, onkolojik cerrahi sonrasında gelişmiş ağız içi defektlerinin kapatılmasında kullandığımız serbest flepleri defektlerin genişliği ve lokalizasyonu eksenli retrospektif olarak incelemek ve tecrübelerimizi paylaşılmaktır.…”

Section: Ağız İçi Kanserlerin Eksizyonu Sonrasında Gelişen Defektleriunclassified

Reconstruction of Oral Cavity Defects with Free Flaps After Ablation of Intraoral Cancers

Özkan¹,

Uysal²,

Topal³

et al. 2021

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Bu çalışmadaki amacımız, onkolojik cerrahi sonrasında gelişmiş ağız içi defektlerin kapatılmasında kullandığımız serbest fleplerin sonuçlarını retrospektif olarak incelemek ve tecrübelerimizi paylaşmaktır. Gereç ve Yöntemler: Başkent Üniversitesi Plastik, Rekonstrüktif ve Estetik Cerrahi Bölümünde 2015-2020 yılları arasında, onkolojik rezeksiyon sonrası ağız içi defekti gelişmiş ve serbest fleplerle onarım yapılmış 13 hasta, retrospektif olarak tarandı. Tüm hastaların tümör eksizyonları ve boyun diseksiyonları, Başkent Üniversitesi Kulak Burun Boğaz Hastalıkları tarafından yapılırken, rekonstrüksiyonları ameliyata dâhil olunarak, Başkent Üniversitesi Plastik, Rekonstrüktif ve Estetik Cerrahi Bölümü tarafından aynı seansta gerçekleştirilmiştir. Bulgular: Hastaların 9'u erkek, 4'ü kadındı. Yaş ortalaması 54,3 (22-84) idi. Defektlerin lokalizasyonu, 9 hastada ağız tabanı, 4 hastada ağız tavanındaydı. Defektlerin boyutları, 5x4 cm ile 17x14 cm arasındaydı. 6 hastaya tümör eksizyonuyla beraber ipsilateral radikal boyun diseksiyonu yapıldı. 7 hastaya serbest radyal ön kol flebi, 4 hastaya latissimus dorsi kas deri flebi, 2 hastaya serbest fibula flebi uygulandı. Ağız tabanına eşlik eden, mandibula defekti olan 6 hastadan 2'sine serbest fibula flebi, 4 hastaya ise 2,4 mm profilli titanyum rekonstrüksiyon plağı ile mandibula rekonstrüksiyonu yapıldı. Hiçbir flep kaybedilmedi. Ortalama takip süresi, 434 gün (90-1.700) idi. Sonuç: Ağız tabanı ve tavanında, onkolojik cerrahi sonrasında gelişen defektlerin onarılmasında serbest flepler yeterli miktarda dokuyu tek seansta temin edebilmektedir. Cerrahide başarı için preoperatif dönemde multidisipliner yaklaşımla iyi bir planlama ve postoperatif dönemde özenli takip ve bakım gereklidir. Anah tar Ke li me ler: Ağız içi kanserleri; serbest flepler; ağız içi rekonstrüksiyonu; radyal ön kol flebi; latissimus dorsi kas deri flebi ABS TRACT Objective: Our aim in this study is to retrospectively examine the results of free flaps used in the closure of intraoral defects developed after oncologic surgery and to share our experiences. Material and Methods: Between 2015 and 2020, Başkent University Plastic, Reconstructive and Aesthetic Surgery Department retrospectively screened 13 patients with intraoral defects who developed intraoral defects after a total of oncological resection. Tumor resections and neck dissections of all patients were performed by Başkent University Ear, Nose and Throat Diseases Department. Immediate reconstruction of intraoral defects were performed by Başkent University Department of Plastic, Reconstructive and Aesthetic Surgery. Results: 9 of the patients were male and 4 were female. The average age was 54.3 (22-84). The localization of the defects were at the floor of the mouth in 9 patients and the roof of the oral cavity in 4 patients. The sizes of the defects were between 5x4 cm and 17x14 cm. 6 patients underwent ipsilateral radical neck dissection in addition to tumor resection. Free radial forearm flap was applied in 7 patients, latissimus dorsi muscle ski...

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Oral and Oropharyngeal Reconstruction with a Free Flap

Cited by 11 publications

References 31 publications

Current status and evolution of microsurgical tongue reconstructions, part I

Current status and evolution of microsurgical tongue reconstructions, part I

Evolution and current status of microsurgical tongue reconstruction, part II

Reconstruction of Oral Cavity Defects with Free Flaps After Ablation of Intraoral Cancers

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