Unwanted palatal hair: A consequence of complex oropharyngeal reconstruction

Hall, Rebecca R.; Pearce, Daniel J.; Brown, Trudy; McMichael, Amy J.

doi:10.1080/09546630802562450

Cited by 14 publications

(26 citation statements)

References 5 publications

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“…Hall et al described experience with a combination of Nd:YAG laser together with mechanical epilation and electrolysis for two patients with unwanted palatal hair in the oropharynx [1]. Partial hair removal was achieved; yet reaching the deep oropharyngeal areas of the graft remained challenging.…”

Section: Discussionmentioning

confidence: 99%

“…Intraoral hair growth is a known consequence of complicated tissue reconstruction procedures after oncologic resection in the oral cavity and oropharynx [1]. If an oncologic resection is extensive enough that it requires free-flap or rotational flap reconstruction, it often heralds locally advanced cancer that requires adjuvant therapeutic radiation to prevent cancer recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Options for intaoral hair removal may include trimming, electrolysis, mechanical epilation, and laser and light epilation [1,3,4].…”

Section: Discussionmentioning

confidence: 99%

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Intensity-modulated radiation therapy for permanent alopecia of unwanted palatal hair

et al. 2012

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Options for unwanted intraoral hair removal associated with flap reconstruction may include trimming, electrolysis, mechanical epilation, and laser and light epilation. These methods provide temporary relief and often require repeated treatment, with laser and light epilation providing the most durable response. Therapeutic external beam radiation used in the treatment of cancer is known to cause temporary alopecia at low doses and permanent alopecia at higher doses. We report a case of a man who underwent oncologic resection for early stage retromolar trigone cancer. His surgical defect required reconstruction with a submental flap. Post-operatively, his flap grew a thick beard within his oral cavity that was extremely bothersome. Due to the location of the flap, trimming, electrolysis, laser, and light epilation were not recommended treatment options. He was referred to us for consideration of external beam radiation with the goal of permanent alopecia of his intraoral graft.Keywords Palatal hair . Radiation-induced alopecia . Hair removal . Oral cavity reconstruction Case reportA 71-year-old smoker presented with a pedicled mass on the left hard palate extending behind the maxillary gingiva, down the retromolar trigone to the posterior mandibular buccal sulcus, and onto the buccal surface. Biopsy confirmed a spindled squamous cell carcinoma. CT scan showed a 2.5×2.0 cm mass of the left posterior roof of the oral cavity. PET/CT scan confirmed uptake in the hard palate and left retromolar trigone with two hypermetabolic lymph nodes in level II. His past medical history included lung cancer treated with resection and adjuvant radiation 7 years prior, chronic obstructive pulmonary disease with oxygen dependence at night, and recurrent pneumonias. He had a 100+ pack-year smoking history and quit at the time of his diagnosis.Oncologic resection was performed, with pathology revealing two separate primaries. The first lesion was a 3.8-cm spindle cell squamous carcinoma of the hard palate with a depth of invasion of 2 mm, no bone involvement, no perineural invasion, and negative margins. The diameter of the pedicle of the mass was smaller than maximum diameter. The second lesion was a 1.5 cm moderately differentiated squamous cell carcinoma of the retromolar trigone with a depth of invasion of 2 mm, no bone invasion, and negative margins. Due to the proximity of the presenting lesions, they were resected in a single en bloc specimen. The ipsilateral neck was dissected and pathologically negative (0/14 lymph nodes). The resulting

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intensity-modulated radiation therapy for permanent alopecia of unwanted palatal hair

et al. 2012

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“…1 There are several reports that laser hair removal following reconstructive surgery in oral cavity, pharynx, and esophagus. [2][3][4][5][6] However, there is no report for the use of laser treatment for postoperative unwanted hair of the larynx in our best knowledge. We report a case of significant laryngeal hair growth which was managed with diode laser.…”

Section: Introductionmentioning

confidence: 99%

Laser Epilation for Unwanted Hair in the Larynx

2012

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Variable skin flaps are used in reconstruction of defects following surgical resection of larynx cancers. Skin taken from distant sites often contains hair-bearing skin, which can create a problem following reconstruction. In particular, patients with hairy laryngeal flaps often complain of irritation, voice change, and trapping of food. We report on the removal of hair from skin flap of the larynx using a diode laser.

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“…Hairs transferred to the oral cavity, entrap food and produce bad odor, irritates the tongue and creates an unpleasant feel for the patient. Saliva pooling, intermittent dysphagia, gagging and unacceptable nausea are the other reported late complications of hairy myocutaneous flaps [2][3][4]. Intraoral paratrichosis can evolve into malnutrition and produce a decrease in quality of the life [5].…”

Section: Introductionmentioning

confidence: 99%

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

Rahpeyma

Khajehahmadi

2016

J. Maxillofac. Oral Surg.

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Background Submental flap is a useful aid in maxillofacial reconstruction. For intraoral usage the hairs in male patients will create some problems. Materials and Methods In a retrospective study, patients in whom submental flap had been used for reconstruction of orofacial region between 2007 and 2013, in the Mashhad University, Ghaem Hospital, were included. The ways in which the problem of hairs was solved in male patients were evaluated. Results There were 42 patients in whom submental flap was used for orofacial reconstruction. Sixty percent were males. Three ways had been used for management of intraoral hairs: radiotherapy (9 patients), second surgery (2 patients) and flap de-epithelialization (13 patients). Conclusion Deepithelialized variant of submental flap is the best option when submental flap is used for oral cavity reconstruction in male patients. Flap thickness, age, race and postoperative radiotherapy can have strong influence on this strategy.

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Unwanted palatal hair: A consequence of complex oropharyngeal reconstruction

Cited by 14 publications

References 5 publications

Intensity-modulated radiation therapy for permanent alopecia of unwanted palatal hair

Intensity-modulated radiation therapy for permanent alopecia of unwanted palatal hair

Laser Epilation for Unwanted Hair in the Larynx

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

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