J 2017

Regional Flap in Head and Neck Reconstruction. Part I, Philosophy, Submental and Supraclavicular Flaps

PINK, Richard; Zdeněk DVOŘÁK; Petr MICHL; Petr HEINZ; Peter TVRDY et. al.

Základní údaje

Originální název

Regional Flap in Head and Neck Reconstruction. Part I, Philosophy, Submental and Supraclavicular Flaps

Autoři

PINK, Richard; Zdeněk DVOŘÁK; Petr MICHL; Petr HEINZ a Peter TVRDY

Vydání

Dentistry, Hajdarábád, OMICS International, 2017, 2161-1122

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Indie

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/17:00099146

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Pedicled; Submental flap; Supraclavicular flap; Head and neck reconstruction; Oral cancer

Štítky

Příznaky

Recenzováno
Změněno: 15. 3. 2018 18:13, Soňa Böhmová

Anotace

V originále

Background: Regional (pedicled) flaps for reconstruction of intra-oral defects are acquiring increasing recognition as a safe, reliable choice in selected cases after oral cancer ablation (extirpation). The lower technical demands and suitability for elderly/high-risk patients together with specific features that may resolve the seemingly intractable dilemmas with other approaches, are providing a valuable tool in this challenging area of surgery. Aim: The aim of this paper is to describe our experience with the regional (pedicled) (submental, supraclavicular) flaps with a focus on reliability, function, cosmesis, donor site morbidity and oncological safety. Methods and results: Reconstructive techniques using distal flaps are described in 12 patients. In 8, engraftment was complete, in 3 there was partial necrosis and in 1 case, complete rejection of the flap. Conclusion: Regional (pedicled) flaps are thin, and pliable with good cosmetic and functional results. They can be accomplished in a one-stage reconstruction with minimum morbidity of donor site.