Platysma myocutaneous flap revised in the free flaps era: clinical experience in 61 patients

Abstract

Tecnica alternativa per il prelievo del lembo di platisma miocutaneo nell'era dei lembi liberi: esperienza clinica in 61 pazienti

Compartmental tongue surgery for intermediate‐advanced squamous cell carcinoma: A multicentric study

“…Moreover, multivariable analyses (adjusted for prognostic and confounding factors) showed that OTSCC survival and prognosis in patients treated with CTS were not related to the single center. These data confirmed that the anatomically based approach of CTS is a highly reproducible surgical technique and can be codified by already published surgical steps based on tongue and floor of the mouth anatomy 15,34 …”

“…These data confirmed that the anatomically based approach of CTS is a highly reproducible surgical technique and can be codified by already published surgical steps based on tongue and floor of the mouth anatomy. 15,34 Focusing on functional results of patients treated with CTS, removing the lingual extrinsic muscles from their bone insertion could result in a larger excision than the SWMS, but as already reported in some published works on this topic, a dissected muscle does not maintain functionality and, a good reconstruction fills the excision gap. 13 It is already reported that CTS could offer superior oncologic results without reducing functional outcomes compared with SWMS.…”

“…13 In CTS, the extrinsic muscles of the tongue, even though partially infiltrated by the neoplasm, are completely dissected from their bony insertions and the concept of "en-bloc" removal is extended to all anatomical structures and stromal tissues connecting the primary to the cervical lymph nodes identified as the "T-N tract." [13][14][15] A comprehensive clearance of the T-N tract represents the main difference with the SWMS, in which the continuity with cervical lymph nodes is obtained only by dissecting the sublingual area. The first study by Calabrese et al reported that CTS ensured a better local, loco-regional disease control, overall, and disease-free survivals compared with SWMS.…”

Indications for sentinel lymph node biopsy in node‐negative oral cancers

“…Interestingly, they found that even superficial thin tumors can involve these muscles, and high rates of invasion of these three muscles (hyoglossus, 95%; styloglossus, 93.6%; genioglossus, 53.2%) at DOIs >10 mm were reported. To achieve radical oncologic resection, compartmental surgery 17 or pull‐through resection of the T‐N tract 18 en bloc is performed. Therefore, in T3 and above, a skin incision is made in the neck, and elective ND is often indicated for tumor control and surgical necessity at the same time.…”

El colgajo en isla submental: una alternativa en la reconstrucción orofacial. Descripción de la técnica y reporte de casos

“…Su evolución dentro del campo quirúrgico maxilofacial ha evolucionado mucho; sin embargo, son muchas las controversias que aún se generan con su uso. [1][2][3]…”