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.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

India

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/17:00099146

Organization unit

Faculty of Medicine

Keywords in English

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

Tags

Tags

Reviewed
Změněno: 15/3/2018 18:13, Soňa Böhmová

Abstract

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.