Application of versatility of pedicled flaps in oral cavity defects reconstruction after cancer surgery

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Abstract

Objectives: To evaluate the results of application of pedicled flaps in reconstruction of oral cavity defects after surgery for oral carcinoma.

Methods: A prospective, clinical interventional descriptive study on 36 oral squamous cell carcinoma patients operated at Hue Central Hospital from March 2020 to May 2023.

Results: 36 pedicled musculocutaneous flaps were used in defect reconstruction after surgery of oral cancer. Four types of flaps were use, in which the temporalis fascia flap was used for 3 cases (8.3%), the temporalis myofascial flap was used for 6 cases (16.7%), the submandibular fascia flap was used for 15 cases (41.7%) and the pectoralis major myocutaneous one was used for 12 cases (33.3%). The results of the study showed that 83.3% of flaps were good. There were no serious complications after surgery. Good function recovery and low recurrence rate were recorded after surgery.

Conclusion: Using flexible pedicled musculocutaneous flaps is a suitable choice for moderate and large defects after surgery along with major organ reconstruction to preserve vital function and morphology of the oral cavity for cancer patients.

https://doi.org/10.38103/jcmhch.91.17

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Published 26-12-2024
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Language
Issue No. 91 (2023)
Section Original article
DOI 10.38103/jcmhch.91.17
Keywords Ung thư khoang miệng, vạt cân cơ thái dương, vạt dưới hàm, vạt cơ ngực lớn Oral cancer, temporalis myofascial flap, submandibular flaps, pectoralis major myocutaneous flaps

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Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital

Loi, N. H., Khanh, N. V., Khoa, N. D., & Huy, T. N. (2024). Application of versatility of pedicled flaps in oral cavity defects reconstruction after cancer surgery. Journal of Clinical Medicine Hue Central Hospital, (91), 104–108. https://doi.org/10.38103/jcmhch.91.17