Retromolar Trigone Reconstructive Surgery: Prospective Comparative Analysis Between Free Flaps

Cigna, Emanuele; Rizzo, Maria Ida; Greco, Antonio; Virgilio, Armando De; Palmieri, Annapina; Maruccia, Michele; Ribuffo, Diego; Scuderi, Nicolò; Vincentiis, Marco de

doi:10.1245/s10434-014-3963-4

Cited by 17 publications

(19 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nowadays many free flaps have been described and successfully used in oral cavity reconstruction 1 2 . In the last decade, the antero-lateral thigh free flap (ALT) become the most popular because of less donor site morbidity and better cosmetic outcomes 2 .…”

Section: Introductionmentioning

confidence: 99%

Lembo miofasciale di vasto laterale nella ricostruzione della lingua

Pellini¹,

Virgilio

Mercante³

et al. 2016

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

Nell'ultimo decennio il lembo antero-laterale di coscia (ALT) è diventato il lembo libero più utilizzato nella ricostruzione della lingua, dal momento che esso è caratterizzato da bassa morbidità a livello del sito donatore e da migliori risultati estetici. Tuttavia, l'ALT fascio-cutaneo può essere insufficiente nella ricostruzione nei difetti maggiori (es. glossectomia totale) mentre la sua variante muscolo-cutanea (che include il muscolo vasto laterale)' può essere troppo voluminosa. Scopo dello studio è quello di descrivere la nostra esperienza preliminare nella ricostruzione della lingua utilizzando il lembo libero mio-fasciale di vasto laterale che potrebbe a nostro parere offrire notevoli vantaggi nella ricostruzione testa-collo come: possibilità di confezionare un lembo voluminoso quando necessario, ottimi risultati funzionali, obliterazione di spazi morti con prevenzione dello sviluppo di fistola e infezione con minima morbidità a livello del sito donatore.

show abstract

Section: Introductionmentioning

confidence: 99%

Lembo miofasciale di vasto laterale nella ricostruzione della lingua

Pellini¹,

Virgilio

Mercante³

et al. 2016

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

show abstract

“…In fact, FALT can be considered a valid alternative to the radial artery FALT. Its main advantages compared to the radial artery flap are: lower donor site morbidity, better cosmetic appearance, and a larger amount of available skin (Cigna et al, ). In case of myocutaneous perforators, we advocate the isolation of the anterior face of the perforator from fascia to the DLCF without dissecting completely the perforator from the muscle and preserving a 2 cm cuff of muscle around.…”

Section: Discussionmentioning

confidence: 99%

“…Its versatility and low morbidity make the ALT a useful free flap for the soft tissue reconstruction in the head and neck area, in which the dimension and thickness of the defects are variable. FALT can be successfully used for thinner defect closure such as the retromolar trigone, external skin, and the floor of mouth (Cigna et al, ). MYALT can be performed instead of the free rectus abdominis flap for large tongue defects reconstruction (e.g., : total glossectomy; Bianchi et al, ).…”

Section: Introductionmentioning

confidence: 99%

Head and neck soft tissue reconstruction with anterolateral thigh flaps with various components: Development of an algorithm for flap selection in different clinical scenarios

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objectives: The antero-lateral thigh free flap (ALT) is conventionally designed as a fasciocutaneous flap (FALT). However, the thickness of the flap can be designed in at least in two more variants: myocutaneous (MYALT), and myofascial (MALT). The aim of this study was to evaluate the use of ALT flap as a universal solution for head and neck soft tissue reconstruction and development of an algorithm for flap selection in different clinical scenarios.Patients and methods: Forty patients, 29 males, 11 females, with mean age of 61.6 years (range 36-77) were enrolled. Thirty-three patients were affected by mucosal squamous cell carcinoma (24 oral cavity, 8 larynx, 1 hypopharynx), four by cutaneous squamous cell carcinoma, two by sarcoma of the orbit, one by adenoid cystic carcinoma of the parotid gland. MALT was used for tongue reconstructions thicker than 2 cm.When vastus lateralis was not thick enough we used MYALT, which was used for bulky head and neck reconstruction requiring mucosa and/or skin. FALT was performed for oral and mucosal defects thinner than 2 cm. We performed 19 MYALT, 11 FALT, and 10 MALT. We proposed ALT reconstruction to all patients requiring soft tissue replacement, for this reason selection bias is excluded. Statistical analysis was conducted to analyze any difference in defect size, flap volume, functional, and cosmetic results. Results: Overall mean follow-up was 18.9 months (range 3-48). Follow-up of single flaps was as follow: MALT 20.3 (range 3-48), MYALT 17.6 (range 4-45), FALT 19.1 (range 3-48), mean time of follow-up was not significant among the three groups (p .82). Mean size of the defect in cm 3 was 188.5 (range 25-495), Mean sizes of the defects were: tongue 177.7 (range 48-360), oral floor/check 128.3 (range 25-432), larynx hypopharynx 315.7 (range 184-495), and maxilla 232.0 (range 224-240).Mean volume difference was significantly different between oral floor defects and

show abstract

“…The retromolar trigone is a familiar anatomical structure to head and neck surgeons and other specialists of the oral cavity owing to its significance in cancer treatment. Numerous cancers in the retromolar trigone have been reported (Ayad et al, ; Durmus et al, ; Cigna et al, ; Horta et al, ) and various treatments and prognoses have been developed on the basis of pathological findings and metastases (Kowalski et al, ; Villeneuve et al, ; Deo et al, ; Haymerle et al, ). However, anatomical evidence of the primary site of the tumor is necessary to establish the reliability of diagnosis and treatment (Cobzeanu et al, ).…”

Section: Discussionmentioning

confidence: 99%

Anatomical study of the so‐called “retromolar gland”: Distinguishing normal anatomy from oral cavity pathology

et al. 2018

View full text Add to dashboard Cite

The minor salivary glands in the retromolar trigone have rarely been studied. The aim of this study was to better define the anatomy of the minor salivary glands in the retromolar trigone and establish the relationships between these and adjacent structures. The gland in the retromolar trigone was exposed and its relationships to surrounding structures were observed on 20 cadaveric sides. The boundaries of the gland included the superior pharyngeal constrictor muscle, the tendon of the buccinator muscle, and loose connective tissue. The gland was not continuous with the pterygomandibular or parapharyngeal spaces, but loose connective tissue was present between glands in the retromolar trigone and the medial pterygoid muscle. To our knowledge, this is the first study to describe the detailed anatomy of the minor salivary gland in the retromolar trigone. We suggest that the minor salivary gland in the retromolar trigone should be named the "retromolar gland." Clin. Anat. 31:462-465, 2018. © 2018 Wiley Periodicals, Inc.

show abstract

Retromolar Trigone Reconstructive Surgery: Prospective Comparative Analysis Between Free Flaps

Abstract: The study showed that the free ALT perforator flap provides better results in appearance and scarring than the RF flap for intraoral reconstruction after RMT cancer resection.

Cited by 17 publications

References 20 publications

Lembo miofasciale di vasto laterale nella ricostruzione della lingua

Lembo miofasciale di vasto laterale nella ricostruzione della lingua

Head and neck soft tissue reconstruction with anterolateral thigh flaps with various components: Development of an algorithm for flap selection in different clinical scenarios

Anatomical study of the so‐called “retromolar gland”: Distinguishing normal anatomy from oral cavity pathology

Contact Info

Product

Resources

About