PINK, Richard, Zdeněk DVOŘÁK, Petr MICHL, Petr HEINZ and Peter TVRDY. Regional Flap in Head and Neck Reconstruction. Part I, Philosophy, Submental and Supraclavicular Flaps. Dentistry. Hajdarábád: OMICS International, 2017, vol. 7, No 5, p. 1-5. ISSN 2161-1122. Available from: https://dx.doi.org/10.4172/2161-1122.1000433.
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Basic information
Original name Regional Flap in Head and Neck Reconstruction. Part I, Philosophy, Submental and Supraclavicular Flaps
Authors PINK, Richard (203 Czech Republic), Zdeněk DVOŘÁK (203 Czech Republic, guarantor, belonging to the institution), Petr MICHL (203 Czech Republic), Petr HEINZ (203 Czech Republic) and Peter TVRDY (203 Czech Republic).
Edition Dentistry, Hajdarábád, OMICS International, 2017, 2161-1122.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher India
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/17:00099146
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.4172/2161-1122.1000433
Keywords in English Pedicled; Submental flap; Supraclavicular flap; Head and neck reconstruction; Oral cancer
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Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 15/3/2018 18:13.
Abstract
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.
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