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

Bach, C.; Wagner, I.; Pigot, J.-L.; Guth, A.; Denoux, Yves; Chabolle, F.

doi:10.1007/s00405-014-3279-9

Cited by 16 publications

(2 citation statements)

References 21 publications

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“…In the event of excessive ALT bulk or accidental injury to ALT perforators, Ghanem [58] showed that the vastus lateralis free flap (VLFF) may be used as an alternative or rescue option. Less common free flaps such as the TDAP, MSAP, and lateral arm have also been reported [59–61].…”

Section: Recent Findingsmentioning

confidence: 99%

Oropharyngeal reconstruction after transoral robotic surgery

Silverman

Birkeland

Bewley

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewTransoral robotic surgery (TORS) has experienced an evolution in recent years. This technique has proved to be a safe and effective method for extirpation of select oropharyngeal tumors. Advances in technology as well as improved surgeon experience allow for the resection of larger, more complex cancers. Although healing by secondary intention remains the current standard for limited oropharyngeal defects, larger resections demand reconstruction with vascularized tissue to minimize morbidity and optimize functional outcomes. The objective of this review is to evaluate recent literature regarding oropharyngeal reconstruction after TORS. Recent findingsA variety of reconstructive options to manage oropharyngeal defects exist. Several reconstructive algorithms have been suggested; however, careful consideration must be used to select the most ideal flap type. Locoregional flaps have shown excellent functional outcomes with limited morbidity. An increase in free flap reconstruction has been demonstrated, particularly among patients with larger TORS defects and following chemoradiation therapy. Despite limited data, robotic-assisted flap inset and microvascular anastomosis has recently shown promise. SummaryReconstruction and flap selection following TORS should be tailored to the patient and unique oropharyngeal defect. Functional outcomes are promising with low complication rates among these patients. Keywordsfree flap, locoregional flap, oropharyngeal reconstruction, transoral robotic surgery & ,5]. Importantly, TORS may obviate the need for open surgical approaches and adjuvant therapy, thereby reducing functional morbidity and toxicities [6,7 && ,8].Despite the advantages of robotic-assisted surgery, oropharyngeal resection with TORS may still result in sizeable defects which necessitate reconstruction. As indications for TORS expand to include larger and more complex resections, careful consideration is required to select the most appropriate

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Section: Recent Findingsmentioning

confidence: 99%

Oropharyngeal reconstruction after transoral robotic surgery

Silverman

Birkeland

Bewley

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Dans ce cadre, le développement des lambeaux de type perforant constitue une avancée récente. Les deux lambeaux perforants les plus utilisés en reconstruction cervicofaciale sont le lambeau de face antéroexterne de cuisse et celui fondé sur le pédicule thoracodorsal [27,28]. Avec ces techniques, la fermeture directe du site donneur est le plus souvent possible, et la morbidité liée au prélèvement est réduite au minimum.…”

Section: Chirurgie Reconstructive Cervicofacialeunclassified

Head and neck oncologic surgery today and tomorrow

Bozec

Céruse

2015

Oncologie

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Reçu le 25 février 2015 ; accepté le 28 avril 2015 © Lavoisier SAS 2015Résumé La chirurgie garde une place centrale dans le traitement des cancers de la face et du cou. Elle s'intègre dans le cadre d'une prise en charge multidisciplinaire globale et personnalisée du patient. Tout en respectant les règles générales de la chirurgie oncologique, elle devient de plus en plus ciblée sur les structures anatomiques réellement atteintes et donc conservatrice des tissus sains environnants. Les progrès des voies d'abord chirurgical, le développement de la chirurgie endoscopique et transorale (laser, chirurgie assistée par robot), de même que les avancées de la chirurgie reconstructive ont permis de diminuer la morbidité chirurgicale et d'améliorer les résultats fonctionnels postopératoires.Mots clés Cancers de la face et du cou · Chirurgie oncologique · Chirurgie assistée par robot · Prise en charge personnalisée Abstract Surgery plays a central role in the multimodal and personalized therapeutic management of head and neck cancers. While complying with general rules of oncologic surgery, head and neck surgery has become more conservative. Head and neck surgery removes more selectively the anatomical structures that are invaded by the tumor and spares the normal healthy tissues. Progress of surgical approaches, endoscopic and transoral (laser, robot-assisted surgery) surgery development, as well as advances in reconstructive surgery have led to reduction in surgical morbidity and improvement in postoperative surgical outcomes.

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