The free thoracodorsal artery perforator flap in head and neck reconstruction

Bach, C.; Wagner, I.; Lachiver, X.; Guth, A.; Baglin, A.C.; Chabolle, F.

doi:10.1016/j.anorl.2011.12.003

Cited by 18 publications

(14 citation statements)

References 9 publications

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“…The thoracodorsal artery perforator flap is harvested by other team with the patient in the lateral supine position [17], but we usually harvest this flap with the patient in the supine position [12] to allow simultaneous surgery by two teams, one team performing resection of the head and neck tumour and the other team harvesting the flap. The mean flap harvesting time of 2.5 h is due to our learning curve and to the thoroughness of the harvesting in the supine position.…”

Section: Discussionmentioning

confidence: 99%

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Velopharyngeal function after free thoracodorsal artery perforator flap in lateral and superior oropharyngeal cancer

Bach

Wagner

Pigot

et al. 2014

Eur Arch Otorhinolaryngol

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The purpose of this study was to report our experience with the free thoracodorsal artery perforator flap for reconstruction of the oropharynx and soft palate in head and neck cancer using a retrospective review of the medical charts of all patients undergoing oropharyngeal reconstruction by free thoracodorsal artery perforator flap during the same procedure as cancer resection between January 2011 and April 2013. Evaluation of speech, feeding and the presence of nasal emissions was performed 6 months after treatment in accordance with the Declaration of Helsinki. Nine patients were evaluated. Clear understanding of the patient was reported by the family and the examiner for seven patients, while understanding difficulties were reported for two patients (1 case of flap dehiscence and 1 technical error of flap fixation). The results indicated that, due to its complex anatomy and function, reconstruction of the soft palate remains a delicate procedure. The free thoracodorsal artery perforator flap allows functional soft palate reconstruction, while limiting donor site morbidity.

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Section: Discussionmentioning

confidence: 99%

“…Thoracodorsal artery perforator flap dissection technique [12] Doppler ultrasound is performed on the day before the operation to identify the perforator artery constituting the Fig. 1 Classification of oropharyngeal defects according to Kimata [1].…”

Section: Classification Of Oropharyngeal Defectsmentioning

confidence: 99%

Velopharyngeal function after free thoracodorsal artery perforator flap in lateral and superior oropharyngeal cancer

Bach

Wagner

Pigot

et al. 2014

Eur Arch Otorhinolaryngol

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“…A comparison of the different perforators flaps used for head and neck reconstruction is shown in Table 1 . 6,7,17-22…”

Section: Discussionmentioning

confidence: 99%

“…Besides the anterolateral thigh flap, several other perforator flaps can be used for head and neck soft tissue reconstruction, each with its own advantages and disadvantages. [17][18][19][20][21][22] Among these, the medial sural artery perforator flap 21,22 has thickness similar to that of the proximal lateral leg flap, as well as a longer pedicle with larger vessels. But there is difficulty in the mapping of a reliable perforator for this flap, owing to variations in perforator anatomy.…”

Section: Discussionmentioning

confidence: 99%