Downloads
Abstract
Objective: To evaluate the results of radical resection and organic reconstruction with fascia - osteomyocutaneous pedicled flaps in head and neck cancer. Patients and method: a case series study of head and neck cancer were treated by radical surgery with reconstruction between March 2016 and June 2017 in Hue Central I lospital; prospective study. Results: Thirty-two patients with head and neck cancer includod: 6 cases of invasive maxillary sinus concor, 3 casco of mandibular involvemont in cancor, 18 cases of enlarged tongue carcinoma and/or floor of the mouth carcinoma; 5 case of multifocal buccal mucosa carcinoma; all cancer cases had stage II to stage IVA arcording 2010 UICC classification. Patients were underwent wide surgical resection and modified radical neck dissection and immediate organic reconsstruction with flaps composed 3 temporoparietal fascia flaps, 6 temporalis muscle flaps, 19 submental istand laps, 2 pectoralis mayor flaps and 2 scapular myo osseous flaps for maxillary defects, oral defects and reconstruction of tongue, floor of the mouth and mandible. Our results with 100% flap survival; there were no severe postoperative complications, better functional recovery, better cosmetic results and lower rate of local recurrence. Conclusions: It is feasible, safe and very effective technique. It was suitable option and reliable choice for moderate to large size defects, combined with the important organic reconstruction to preserve the vital function and form of head and neck region
References
Head and neck cancer. NCCN clinical practice guidelines in oncology. version 2.2017
Jaquet Y, Higgins KM, Enepekides DJ. (2011), The temporoparietal fascia flap: a versatile tool in head and neck reconstruction. Curr Opin Otolaryngol Head Neck Surg. 19 (4), pp. 235-41.
Brown JS, Rogers SN, McNally DN, Buyle M. (2000), A modified classification for the maxillectomy defect. Head Neck, 22, pp. 17- 26.
Wang WH, Zou ZR, Xu B, Wang WQ, Shen SY. (2017), Maxillary Reconstruction Using Submental Artery Island Flap and Sagittal Mandibular Ramus/Coronoid Process Graft Pedicled With Temporalis Muscle. J Oral Maxillofac Surg. S0278-2391(17): 30735-8.
Brennan T, Tham TM, Costantino P. (2017), The Temporalis Muscle Flap for Palate Reconstruction: Case Series and Review of the Literature. Int Arch Otorhinolaryngol, 21(3), pp. 259-264.
Parmar PS, Goldstein DP. (2009), The submental Island flap in head and neck reconstruction. Curr Opin Otolaryngol Head Neck Surg, 17, pp. 263-6.
Tan O, Atik B, Parmaksizoglu D. (2007). Soft tissue augmentation of the middle and lower face using the deepithelialized submental flap. Plast Reconstr Surg, 119:pp873-9.
Chen WL; Li JS; Yang ZH; Huang ZQ; Wang JU: Zhang B. (2008), Two submental island flaps for reconstructing oral and maxillofacial defects following cancer ablation. J Oral Maxillofac Surg, 66(6), pp. 1145-56. Journal of Clinical Medicine - Issue 11/2017
Patel UA, Bayles SW, Hayden RE. (2007) The submental flap: A modified technique for resident training. Laryngoscope, 117, pp. 186-9.
Milenović A; Virag M; Uglesić V; Aljinović Ratković N. (2006), The pectoralis major flap in head and neck reconstruction: first 500 patients. J Craniomaxillofac Surg. 34(6), pp. 340-3.
Liu M, Liu W, Yang X, Guo H, Peng H. (2017), Pectoralis Major Myocutaneous Flap for Head and Neck Defects in the Era of Free Flaps: Harvesting Technique and Indications. Sci Rep,7, pp. 46256.
Ilankovan V, Ramchandani P, Walji S, Anand R. (2011), Reconstruction of maxillary defects with serratus anterior muscle and angle of the scapula. Br J Oral Maxillofac Surg, 49, pp. 53-7.
Mücke T, Hölzle F, Loeffelbein DJ, Ljubic A, Kesting M, Wolff KD, et al. (2011). Maxillary reconstruction using microvascular free flaps. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 111, pp. 51 -7.
Le Van Son (2004), Restoration of maxillofacial defects with temporalis fascia flap. Doctoral thesis in Medicine.
Vermorken JB, Specenier P. (2010), Optimal treatment for recurrent/metastatic head and neck cancer. Ann Oncol. 21(7), pp. 252-61.
| Published | 22-02-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 44 (2017) | |
| Section | Original article | |
| DOI | ||
| Keywords | vạt da- cơ- xương có cuống skin- skeletal muscle |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Journal of Clinical Medicine Hue Central Hospital