Functional and Aesthetic Reconstruction of the Defects Following the Hemiglossectomy in Patients with Oropharyngeal Cancer

Okazaki, Mutsumi

doi:10.5772/34417

Cited by 3 publications

(3 citation statements)

References 14 publications

(26 reference statements)

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“…Proper patient selection is also of paramount importance [38]. Several case series, including a 500 free-flap reconstructions series [39], have outlined the major risk factors including postoperative [40] and preoperative [41] radiation [42], neoadjuvant or postoperative chemotherapy [42], patient age [39,41], ASA class [41], smoking [39,41], diabetes [38] and salvage free flap transfer [38]. One study demonstrated no correlation of radiation, smoking, diabetes, or pulmonary disease [43].…”

Section: Factors Predicting Optimal Resultsmentioning

confidence: 99%

Liposuction Contouring After Head and Neck Free Flap Reconstruction

2015

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Resection of bulky head and neck tumors is typically followed by microvascular free flap reconstruction. The latter has shown an acceptable success rate but often requires a secondary revision with a free tissue transfer reconstruction to improve outcome; both cosmetic and functional. Direct surgical revision via electrocautery/scalpel poses a high risk of flap perfusion compromise. Suction assisted lipectomy on the other hand is a feasible and safe technique that offers favorable contouring with comparable restoration cosmetic and functional outcomes. In this article, we review the indications and advantages of this technique and provide an outlook on its safety and pitfalls.

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Section: Factors Predicting Optimal Resultsmentioning

confidence: 99%

Liposuction Contouring After Head and Neck Free Flap Reconstruction

2015

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“…Donor site morbidity should be given particular attention in pediatric cases due to its impact on future growth. There are various flap options for tongue reconstruction, such as the radial forearm free flap (RFFF), anterolateral thigh (ALT) free flap, transverse gracilis myocutaneous (TMG) free flap, and rectus abdominis myocutaneous (RAMC) free flap . RFFF and ALT free flaps are able to achieve ideal tongue reconstruction; however, they are associated with unacceptable donor site scar formation, especially in young female patients.…”

Section: Discussionmentioning

confidence: 99%

“…There are various flap options for tongue reconstruction, such as the radial forearm free flap (RFFF), anterolateral thigh (ALT) free flap, transverse gracilis myocutaneous (TMG) free flap, and rectus abdominis myocutaneous (RAMC) free flap. [4][5][6][7][8][9] RFFF and ALT free flaps are able to achieve ideal tongue reconstruction; however, they are associated with unacceptable donor site scar formation, especially in young female patients. In addition, ALT flaps obtained from this age group often do not contain sufficient adipose tissue to allow bulky tongue reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Tongue reconstruction with minimal donor site morbidity using a deep inferior epigastric perforator (DIEP) free flap in a 6‐year‐old girl

et al. 2013

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Tongue reconstruction was performed using a deep inferior epigastric perforator (DIEP) free flap in a 6-year-old girl with undifferentiated sarcoma of the tongue. After hemi-glossectomy with upper neck dissection, a 3-lobed DIEP free flap was used for the reconstruction. Donor site was closed primarily with suturing umbilicus in proper position. No flap loss, leakage, or infection occurred. Postoperatively, the patient was able to consume a normal diet without difficulty or aspiration and displayed good speech function. No donor site morbidity, e.g., herniation or bulging, was observed, and the patient was able to perform their normal daily activities. DIEP flaps provide a pliable skin paddle, an adequate amount of adipose tissue, and reduced donor site morbidity, even in children. We did not have any difficulty harvesting the DIEP flap or with the microvascular anastomosis. We consider DIEP free flaps to be the ideal option for pediatric tongue reconstruction.

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