Head and neck reconstruction using infrahyoid myocutaneous flaps

Tincani, Álfio José; Negro, André Del; Araújo, Priscila Pereira Costa; Akashi, Hugo Kenzo; Neves, Flávia da Silva Pinto; Martins, Alessandro F.

doi:10.1590/s1516-31802006000500007

Cited by 23 publications

(22 citation statements)

References 6 publications

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“…Furthermore, the finding supported that the IMF might be suitable for small-and middle-size defects 3,4) .…”

Section: Discussionmentioning

confidence: 59%

“…The harvest of an IMF was performed based on previous studies [2][3][4][5][6][7] . The IMF was elevated from caudal to cephalad.…”

Section: Methodsmentioning

confidence: 99%

“…Generally, complete and extensive resection is a reliable and current method to improve local control of the diseases, and the surgeon also cares about the postoperative functional results such as speech, swallowing and so on. Since the infrahyoid myocutaneous flap (IMF) was first introduced by Wang et al 2) , it has been widely used in reconstruction of small-and medium-sized defects of the oral cavity [3][4][5][6][7] . Nowadays, due to advancements of microvascular surgery, free flap, especially radial forearm free flap (RFFF) has been the preferred method for soft tissue reconstruction 8) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Infrahyoid Myocutaneous Flap Versus Radial Forearm Free Flap in Treating Patients with cT1-2 Tongue Carcinoma

Fang

Luo

Zhao

et al. 2015

J. Hard Tissue Biology.

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Our goal was to compare clinical and functional results of the infrahyoid myocutaneous flap (IMF) with those of the radial forearm free flap (RFFF) for partial tongue reconstruction. Between January 2005 and June 2012, patients who had received an IMF or a RFFF reconstruction for cT1-2 tongue carcinoma were included, their medical records were reviewed, and they were asked to complete the University of Washington Quality of Life (UW-QoL) version 4 questionnaire at least 12 months postoperatively. Compared to patients with a RFFF reconstruction, patients treated with an IMF had significantly shorter operation time (p<0.001), less hospital cost (p<0.001) and shorter postoperative stay (p<0.001). There were no apparent differences in other scales between the two groups. The mean composite score for the two groups was 88.4 (SD: 14.9) and 86.4 (SD: 15.3), respectively, the finding was not significant (p=0.784). Patients with an IMF reconstruction had significantly better shoulder function, there were no significant differences regarding other domains between the two groups. Compared to RFFF, IMF was a reliable procedure for partial tongue reconstruction.

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“…Furthermore, the finding supported that the IMF might be suitable for small-and middle-size defects 3,4) .…”

Section: Discussionmentioning

confidence: 59%

“…The harvest of an IMF was performed based on previous studies [2][3][4][5][6][7] . The IMF was elevated from caudal to cephalad.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Infrahyoid Myocutaneous Flap Versus Radial Forearm Free Flap in Treating Patients with cT1-2 Tongue Carcinoma

Fang

Luo

Zhao

et al. 2015

J. Hard Tissue Biology.

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“…7). Some put particular emphasis on the preservation of the cranial portion of the anterior jugular vein [12,13,21,22], which is perfectly feasible and reliable, nevertheless preservation of the external jugular system makes ipsilateral neck dissection technically more demanding.…”

Section: Technical Modificationsmentioning

confidence: 99%

The infrahyoid flap: A comprehensive review of an often overlooked reconstructive method

Deganello

Leemans

2014

Oral Oncology

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a b s t r a c tThe infrahyoid flap is a myocutaneous pedicled flap mainly nourished by the superior thyroid vessels through the perforators of the infrahyoid muscles. This thin and pliable flap provides a skin island of about 7 by 4 cm from the central part of the anterior neck. The flap can be transferred on its pedicle of superior thyroid artery and vein to reconstruct medium sized head and neck defects created after cancer ablation. We have successfully used this flap in a series of 40 cases with no total flap loss and with 1 case of superficial skin necrosis. The aim of this review is to highlight the clinical usefulness of this pedicled flap even in the microvascular free flap era. A comprehensive review of the available literature reporting on the infrahyoid flap has been carried out using a web search. The history of the infrahyoid flap, the surgical technique with technical innovations, the clinical utility and limitations of this flap, are reported and discussed. Among the 7 larger series (cohort larger than 50 cases) a total of 956 flaps were performed, and the global success rate was 91.7%, with failures being mainly related to partial skin necrosis, as the rate of total (skin and muscle) flap necrosis was only 1%.This flap is reliable, easy to harvest during neck dissection, oncologically safe, it does carry a negligible donor site morbidity. This paper highlights how the infrahyoid flap can represent an excellent reconstructive solution in selected patients and head and neck sites.

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“…Various types of loco-regional and free flaps are used for oropharyngeal reconstruction; but, at present, this issue remains the subject of debate since no 'ideal method' for all situations exists (11,14). The infrahyoid flap (IHF), introduced by Wang et al in 1986 (15), has been demonstrated to be a good alternative to for the reconstruction of small-or medium-sized defects in the oral cavity, oropharynx, hypopharynx and lower third of the face (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). In the present study, a prospective clinical study was performed on a series of consecutive patients with advanced OPSCC, with the aim of defining the principal characteristics and outcomes of oropharyngeal defect reconstruction with a simultaneously harvested IHF.…”

Section: Introductionmentioning

confidence: 99%

Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review

et al. 2016

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Abstract. The present study aimed to describe the techniques used and the results obtained with the infrahyoid flap for the reconstruction of medium-sized oropharyngeal defects following resection for advanced squamous cell cancer. During a period of 1 year, six patients with oropharyngeal defects were reconstructed using the infrahyoid flap. The tumor characteristics, location and size of the defect, resective and reconstructive techniques employed and the complications and outcomes of the speech and swallowing functions, as identified in the follow-up visits every 3 months, were evaluated. All flaps were performed simultaneously in association with tumoral excision and ipsilateral supraomohyoid neck dissection. The mean size of the skin paddle was 7.0x3.5 cm. The donor site was primarily sutured. The postoperative course was uneventful and all flaps were viable. One case of marginal skin paddle loss occurred without affecting the survival of the flap. Five patients received postoperative radiotherapy and one patient received concurrent postoperative chemotherapy. During the follow-up period (mean, 63 months), all patients showed excellent oral swallowing. Speech was excellent in five patients and in one patient speech was classified as good. The aesthetic results of the cervical donor site were good. Based on the present case report and the literature review, the infrahyoid flap is a simple and safe procedure for the reconstruction of the oropharynx, with a high success rate, minimal donor site morbidity and good aesthetic and functional results. The infrahyoid flap is a valid surgical option that may be considered in selected oncological patients undergoing reconstruction of medium-size oropharyngeal defects.

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Head and neck reconstruction using infrahyoid myocutaneous flaps

Abstract: IHF is a safe and reliable procedure for reconstructing head and neck surgical defects. Due to its thinness and malleability, its use for oral cavity and oropharynx defects provides favorable cosmetic and functional outcomes. Complications, when present, are easy to manage.

Cited by 23 publications

References 6 publications

Infrahyoid Myocutaneous Flap Versus Radial Forearm Free Flap in Treating Patients with cT1-2 Tongue Carcinoma

Infrahyoid Myocutaneous Flap Versus Radial Forearm Free Flap in Treating Patients with cT1-2 Tongue Carcinoma

The infrahyoid flap: A comprehensive review of an often overlooked reconstructive method

Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review

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