Facial Reanimation and Reconstruction of the Radical Parotidectomy

David, Abel P.; Seth, Rahul; Knott, P Daniel

doi:10.1016/j.fsc.2021.03.013

Cited by 7 publications

(5 citation statements)

References 67 publications

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“…Advanced malignant tumors of the parotid gland often lead to complex tissue defects after surgical removal, which can include facial skin, chewing muscles, and the mandible. Prompt repair and reconstruction are necessary in such cases [ 19 ]. The utilization of pedicled pectoralis major muscle flaps, and free flaps including anterolateral thigh flaps and forearm flaps has demonstrated significant advantages in restoring facial aesthetics.…”

Section: Discussionmentioning

confidence: 99%

Algorithm for the reconstruction of the parotid region: a single institution experience

Dou,

Ma,

Zhang

et al. 2024

BMC Oral Health

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Objective This study aims to discuss the characteristics and treatment methods of malignant tumors in the parotid region, as well as the therapeutic effects of immediate free flap reconstruction of soft tissue for postoperative defects. Materials and methods A retrospective review was conducted on 11 cases of soft tissue flap reconstruction for postoperative defects following the resection of malignant tumors in the parotid region. Statistical analysis was performed based on clinical data. Results Among the 11 cases of malignant tumors in the parotid region, there were 2 cases of secretory carcinoma (SC) of the salivary gland, 2 cases of squamous cell carcinoma (SCC), 2 cases of carcinosarcoma, 1 case of mucoepidermoid carcinoma (MEC), 1 case of epithelial-myoepithelial carcinoma (EMC), 1 case of salivary duct carcinoma (SDC), 1 case of basal cell carcinoma (BCC), and 1 case of osteosarcoma. Among these cases, 4 were initial diagnoses and 7 were recurrent tumors. The defect repairs involved: 8 cases with anterolateral thigh free flap (ALTF), 2 cases with pectoralis major muscle flaps, and 1 case with forearm flap. The size of the flaps ranged from approximately 1 cm × 3 cm to 7 cm × 15 cm. The recipient vessels included: 4 cases with the facial artery, 4 cases with the superior thyroid artery, and 1 case with the external carotid artery. The ratio of recipient vein anastomosis was: 57% for branches of the internal jugular vein, 29% for the facial vein, and 14% for the external jugular vein. Among the 8 cases that underwent neck lymph node dissection, one case showed lymph node metastasis on pathological examination. In the initial diagnosis cases, 2 cases received postoperative radiotherapy, and 1 case received 125I seed implantation therapeutic treatment after experiencing two recurrences. Postoperative follow-up revealed that 2 cases underwent reoperation due to local tumor recurrence, and there were 2 cases lost to follow-up. The survival outcomes after treatment included: one case of distant metastasis and one case of death from non-cancerous diseases. Conclusion Immediate soft tissue flap reconstruction is an important and valuable option to address postoperative defects in patients afflicted with malignant tumors in the parotid region.

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Section: Discussionmentioning

confidence: 99%

Algorithm for the reconstruction of the parotid region: a single institution experience

Dou,

Ma,

Zhang

et al. 2024

BMC Oral Health

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“…However, the extent of surgery for salivary gland carcinoma is one of the most widely debated topics in head and neck surgical oncology, particularly as it relates to the extent of node dissection. Reconstructive techniques for contour or skin defects and facial nerve deficits have progressed in recent years and have been extensively reviewed elsewhere 20–27 . We review general surgical principles of salivary gland malignancies here.…”

Section: Staging Of Salivary Gland Neoplasmsmentioning

confidence: 99%

“…Reconstructive techniques for contour or skin defects and facial nerve deficits have progressed in recent years and have been extensively reviewed elsewhere. [20][21][22][23][24][25][26][27] We review general surgical principles of salivary gland malignancies here.…”

Section: Surgical Considerationsmentioning

confidence: 99%

The evolving landscape of salivary gland tumors

Steuer

Hanna

Viswanathan

et al. 2023

CA A Cancer J Clinicians

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Salivary gland cancers are a rare, histologically diverse group of tumors. They range from indolent to aggressive and can cause significant morbidity and mortality. Surgical resection remains the mainstay of treatment, but radiation and systemic therapy are also critical parts of the care paradigm. Given the rarity and heterogeneity of these cancers, they are best managed in a multidisciplinary program. In this review, the authors highlight standards of care as well as exciting new research for salivary gland cancers that will strive for better patient outcomes.

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“…Recently, the current paradigm has evolved at our institution to incorporate the use of dynamic reconstruction, including nerve and functional muscle transfers for patients requiring a radical parotidectomy. The novel approach challenges the established premise of forgoing a functional muscle transfer in elderly patients or in patients destined to undergo adjuvant radiation [ 64 , 65 ]. While these factors were considered relative contraindications to dynamic reconstruction in the past, we have confirmed that patients undergoing immediate functional gracilis transfer were able to achieve volitional control.…”

Section: Facial Reanimationmentioning

confidence: 99%

Innovative Strategies in Microvascular Head and Neck Reconstruction

et al. 2023

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The field of reconstructive microsurgery has witnessed considerable advancements over the years, driven by improvements in technology, imaging, surgical instruments, increased understanding of perforator anatomy, and experience with microsurgery. However, within the subset of microvascular head and neck reconstruction, novel strategies are needed to improve and optimize both patient aesthetics and post-operative function. Given the disfiguring defects that are encountered following trauma or oncologic resections, the reconstructive microsurgeon must always aim to innovate new approaches, reject historic premises, and challenge established paradigms to further achieve improvement in both aesthetic and functional outcomes. The authors aim to provide an up-to-date review of innovations in head and neck reconstruction for oncologic defects.

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Facial Reanimation and Reconstruction of the Radical Parotidectomy

Cited by 7 publications

References 67 publications

Algorithm for the reconstruction of the parotid region: a single institution experience

Algorithm for the reconstruction of the parotid region: a single institution experience

The evolving landscape of salivary gland tumors

Innovative Strategies in Microvascular Head and Neck Reconstruction

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