Primary repair and reconstruction of tumor defects in parotid masseter region: a report of 58 cases

Cai, Yongcong; Shui, Chunyan; Li, Chao; Sun, Ronghao; Zhou, Yang; Liu, Wei; Xu, Wei; Zeng, Dinfen; Jiang, Jian; Zhu, Guiquan; Wang, Wei; Zhenghua, Jiang; Tang, Zhenqi

doi:10.21037/gs.2019.08.01

Cited by 6 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Third, a bilobed flap has a better colour match to the native face skin. 4–8 Our patients had scars from surgery, but the colour match with the skin around the face was good.…”

Section: Discussionmentioning

confidence: 83%

“…There are several advantages to reconstructing skin defects after parotid carcinoma surgery using bilobed flaps. 4–8 First, a bilobed flap has a degree of skin activity that facilitates wound closure. 4 In advanced parotid carcinoma, RT is required as soon as possible after surgery, and a bilobed flap makes this possible with a high success rate and fewer complications.…”

Section: Discussionmentioning

confidence: 99%

“…4–8 First, a bilobed flap has a degree of skin activity that facilitates wound closure. 4 In advanced parotid carcinoma, RT is required as soon as possible after surgery, and a bilobed flap makes this possible with a high success rate and fewer complications. 7,10 In this study, only one patient had a delay, of approximately three weeks, before post-operative RT, because of flap necrosis; all other patients had RT initiated within one month after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Second, bilobed flaps are relatively easy to harvest in the same surgical field in a short time, compared to free flaps. 4–8 Neck metastasis often accompanies advanced parotid carcinoma, so it is necessary to perform neck dissection simultaneously with a parotidectomy. 10 In the case of neck dissection, sufficient rotational arcs and tissue coverage are available, making the double flap design or advancement easier.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Bilobed flap reconstruction for skin defects after parotid carcinoma surgery

et al. 2021

View full text Add to dashboard Cite

Objective To analyse the treatment results of bilobed flap reconstruction performed for skin defects after parotid carcinoma surgery. Method Ten patients who underwent bilobed flap reconstruction for skin defects after parotid carcinoma surgery in our hospital, from 2014 to 2020, were retrospectively enrolled. Results All patients underwent bilobed flap reconstruction for skin defects after parotid carcinoma surgery. The size of the skin defect was 2.7 × 2.2 cm in the smallest dimension and 9.0 × 6.3 cm in the largest dimension. All bilobed flaps except one healed without any problems. One patient developed partial flap necrosis in the retroauricular region, and was treated with skin grafts after removal of the necrotic tissue under local anaesthesia. All bilobed flaps, including the cases in which skin grafts were performed, survived after post-operative radiotherapy or chemotherapy. Conclusion A bilobed flap is a good reconstruction option for skin defects after parotid carcinoma surgery in some cases.

show abstract

“…Third, a bilobed flap has a better colour match to the native face skin. 4–8 Our patients had scars from surgery, but the colour match with the skin around the face was good.…”

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Bilobed flap reconstruction for skin defects after parotid carcinoma surgery

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Our surgical team has previously used the free flap method to reconstruct large defects of the parotid and zygomatic regions [ 1 ]. Additionally, a double-free flap approach has been used to reconstruct giant soft tissue defects of the whole scalp [ 2 , 3 ]. However, the free flap method requires microvascular anastomosis expertise, which is difficult, a long operating time, and maximum postoperative monitoring.…”

Section: Introductionmentioning

confidence: 99%

Use of the supraclavicular artery island flap for reconstruction of maxillofacial defects: a case report and literature review

Sheng

Tang

et al. 2021

BMC Surg

View full text Add to dashboard Cite

Background Free flaps are widely used in maxillofacial reconstruction; however, this approach was not feasible in the current case. It was not possible because the free flap method requires microvascular anastomosis expertise, which is difficult, time-consuming and costly. Case presentation An 86-year-old woman suffered squamous cell carcinoma on the right side of her face, which resulted in a large soft-tissue defect. Here, we present a case of facial reconstruction from the inferior margin of the jaw to the top of the head. The size of the defect was 18.5 cm × 7.5 cm, which is rare for a patient of this age in the maxillofacial area. We used the supraclavicular artery island flap (SCAIFP) which measured 19.3 cm × 8.3 cm to repair the defect. After the operation, the flap survived without complications. Then, the patient was followed for 10 months and was satisfied with the aesthetic and functional results at the donor and recipient sites following the tumour resection. The tumour did not recur, and facial nerve function was preserved. Conclusion Our results provide a new choice for the reconstruction of large defects of the head and face, and expand the potential applications of the SCAIFP.

show abstract