Application of pedicled musculocutaneous flaps in defect reconstruction after surgery of oral cancer at hue central hospital

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Abstract

Objective: To evaluate the results of application of pedicled musculocutaneous flaps in defect reconstruction after surgery of oral cancer at Hue Central Hospital.
Methods: A prospective, clinical interventional descriptive study on 34 oral squamous cell carcinoma patients operated at Hue Central Hospital from March 2020 to December 2022.
Results: 34 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 (8.8%), the temporalis myofascial flap was used for 6 cases (17.6%), the submandibular fascia flap was used for 15 cases (44.1%) and the pectoralis major myocutaneous one was used for 10 cases (29.5%). The results of the study showed that 88,2% 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.
Keywords: Oral cancer; temporalis myofascial flap; submandibular flaps; pectoralis major myocutaneous flaps

https://doi.org/10.38103/jcmhch.85.12

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Published 11-01-2025
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Language
Issue No. 85 (2023)
Section Original article
DOI 10.38103/jcmhch.85.12
Keywords Từ khóa: Ung thư khoang miệng; vạt cân cơ thái dương; vạt dưới hàm; vạt cơ ngực lớn. Keywords: 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., Khánh, N. V., & Huy, T. N. (2025). Application of pedicled musculocutaneous flaps in defect reconstruction after surgery of oral cancer at hue central hospital. Journal of Clinical Medicine Hue Central Hospital, (85), 80–88. https://doi.org/10.38103/jcmhch.85.12