Soft Tissue Reconstruction for Head and Neck Ablative Defects

Patel, Stavan; Meram, Andrew T.; Kim, Dongsoo D

doi:10.1016/j.coms.2018.08.004

Cited by 20 publications

(12 citation statements)

References 107 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Primary goals of reconstruction of pharyngeal defects are maintenance of integrity, restoration of function and form, minimising morbidity, and improving quality of life [19]. The reconstruction needs to be able to withstand adjuvant radiotherapy but be compliant enough to restore a range of three-dimensional defects [20].…”

Section: Pre-operative Considerations: Goals and Planningmentioning

confidence: 99%

“…The reconstructive ladder describes an increasing complexity of options: healing by secondary intention, primary closure, grafts, local flaps, regional flaps then distant flaps [19]. The simplest surgical option may not necessarily be the best surgical option because it does not take into consideration the goals of reconstruction [22].…”

Section: Pre-operative Considerations: Goals and Planningmentioning

confidence: 99%

“…In the situations where all of the reconstructive goals cannot be satisfied, they should be prioritised in the following order as mentioned below [19] Within reason, and subject to unforeseen intraoperative requirements, the reconstructive plan should be well understood by both the ablative and reconstructive teams. The ablative surgeon needs to appreciate the need for vessel preservation (in the event of free flap for reconstruction) and also needs to communicate any changes to the plan so that the reconstructive team can pre-empt modifications that might be required.…”

Section: Pre-operative Considerations: Goals and Planningmentioning

confidence: 99%

“…Most soft tissue flaps are designed to be 10 to 20% larger than the defect itself to accommodate for tissue shrinkage [19]. They can be pedicled or microvascular free flaps depending on the nativity of their blood supply.…”

Section: Flap Choicesmentioning

confidence: 99%

See 3 more Smart Citations

Reconstruction of Pharyngeal Defects

Yabe¹,

Ashford²

2021

Surgical Management of Head and Neck Pathologies

View full text Add to dashboard Cite

The management of pharyngeal defects is one of the most challenging tasks for reconstructive surgeons. The reconstructive method is driven by the amount of tissue loss as well as patient-related factors. Since the advent of organ preservation strategies in the 1990s as described by the Department of Veterans Affairs Laryngeal Cancer Study, salvage surgery has become a common pharyngeal procedure to obtain local control when nonsurgical treatment fails. This chapter is divided into preoperative, intraoperative, and postoperative phases of patient management. Each section will focus on particular aspects of management that are essential to achieve the best therapeutic outcome for patients who need pharyngeal reconstruction.

show abstract

Section: Pre-operative Considerations: Goals and Planningmentioning

confidence: 99%

Section: Pre-operative Considerations: Goals and Planningmentioning

confidence: 99%

Section: Pre-operative Considerations: Goals and Planningmentioning

confidence: 99%

Section: Flap Choicesmentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of Pharyngeal Defects

Yabe¹,

Ashford²

2021

Surgical Management of Head and Neck Pathologies

View full text Add to dashboard Cite

show abstract

“…Having removed a malignant tumor of the buccal mucous, a buccal defect appears, which involves several layers of the buccal, rarely -all layers, including the skin. Buccal defects can be combined with marginal or segmental defect of the mandible or partial defect of the upper jaw [5]. Ensuring good functional and aesthetic results are crucial in the reconstruction of the buccal after oncologic resection [6].…”

Section: Introductionmentioning

confidence: 99%

Performance Status and Quality of Life After Reconstructions of Buccal Mucosal and Retromolar Trigone Defects by Skin and Fascial Flaps In Oncologycal Patients

et al. 2020

View full text Add to dashboard Cite

The aim: of the study is to compare surgical and functional results as well as quality of life after use of skin flaps – platysma myocutaneus flap, supraclavicular artery flap and fascial flaps – temporoparietal fascial flap, buccal fat pad for plastic closure of the buccal and retromolar trigone mucous surgical defects in cancer patients. Material and methods: A retrospective comparative analysis of the results of surgical treatment of buccal and retromolar trigone mucosal cancer in 56 patients operated from 2009 to 2014 was made. The patients were divided into two groups: the first included 26 patients, with reconstruction of fascial flaps, the second group included 30 patients, with reconstruction of postoperative defects with skin flaps. Surgical results: the average duration of surgery, the average duration of inpatient treatment and the presence of complications were compared in the both groups. Functional results in both groups were compared in 6 and 12 months after surgery with the Performance Status Scale for Head and Neck Cancer Patients (PSS-HN), and quality of life was assessed by the University of Washington Quality of Life questionnaire, version 4. Results: Average duration of surgery, average time of inpatient treatment, and postoperative complications did not differ significantly in both groups (P> 0.05). Data of performance status and quality of life in patients with reconstruction of mucosal defects and retromolar trigone with skin flaps were significantly better (P> 0.05) in 6 and 12 months after surgery, compared with the group of patients who underwent defect reconstruction with fascial flaps. Conclusions: The method of choice in reconstruction of medium and large defects of the buccal and the retromolar trigone mucous is usage of skin flaps: the platysma myocutaneus flap and the flap of the supraclavicular artery.

show abstract

Using the serratus anterior free flap for dynamic facial reanimation: Systematic review

Janik

Marijić

Faisal³

et al. 2022

Head & Neck

View full text Add to dashboard Cite

It was the purpose of this study to evaluate the role of the serratus anterior free flap (SAFF) with its long thoracic nerve (LTN) as composite flap for dynamic facial reanimation. A total of 10 studies, published between 2004 and 2021, met inclusion criteria. Clinical data of 48 patients were used for the systematic review and analysis. One to three slips were used, mainly as one‐stage procedures (n = 39; 81.3%), to create different force vectors. Single or double innervated muscle transfers were utilized in 32 (66.7%) and 16 (33.3%) cases with additionally harvested skin paddles in 4 (8.3%) patients. The LTN was mostly anastomosed to the ipsilateral masseteric nerve (45.8%; n = 22) or to remaining facial nerve branches (37.5%; n = 18), while cross‐facial‐nerve‐grafting was rarely used (16.7%; n = 8). The SAFF as composite flap with different force vectors proved to be a good candidate for immediate dynamic facial reanimation after any midface defects.

show abstract

Soft Tissue Reconstruction for Head and Neck Ablative Defects

Cited by 20 publications

References 107 publications

Reconstruction of Pharyngeal Defects

Reconstruction of Pharyngeal Defects

Performance Status and Quality of Life After Reconstructions of Buccal Mucosal and Retromolar Trigone Defects by Skin and Fascial Flaps In Oncologycal Patients

Using the serratus anterior free flap for dynamic facial reanimation: Systematic review

Contact Info

Product

Resources

About