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 (203 Česká republika), Zdeněk DVOŘÁK (203 Česká republika, garant, domácí), Petr MICHL (203 Česká republika), Petr HEINZ (203 Česká republika) a Peter TVRDY (203 Česká republika)

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.