Functional results with advanced hypopharyngeal carcinoma treated with circular near-total pharyngolaryngectomy and jejunal free-flap repair

Head & Neck ◽  
2006 ◽  
Vol 28 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Stephane Temam ◽  
Francois Janot ◽  
Michel Germain ◽  
Morbize Julieron ◽  
Evelyne Bretagne ◽  
...  
Keyword(s):  
Free Flap ◽  
Functional Results ◽  
Hypopharyngeal Carcinoma ◽  
Flap Repair ◽  
Total Pharyngolaryngectomy

Postoperative Parathyroid Function in Hypopharyngeal Carcinoma Undergoing Total Pharyngolaryngectomy

2020 ◽  
Vol 71 (6) ◽  
pp. 397-404
Author(s):  
Ryosuke Takahashi ◽  
Hiroaki Kawabe ◽  
Nobuaki Koide ◽  
Kazuchika Ohno ◽  
Yosuke Ariizumi ◽  
...  
Keyword(s):  
Hypopharyngeal Carcinoma ◽  
Parathyroid Function ◽  
Total Pharyngolaryngectomy

scholarly journals NPWTi allows safe delayed free flap repair of Gustilo IIIb injuries: A prospective case series

2021 ◽  
Vol 18 ◽  
pp. 82-87
Author(s):  
Hajime Matsumine ◽  
Giorgio Giatsidis ◽  
Hiroshi Fujimaki ◽  
Nobuyuki Yoshimoto ◽  
Yuma Makino ◽  
...  
Keyword(s):  
Free Flap ◽  
Case Series ◽  
Flap Repair ◽  
Prospective Case Series

scholarly journals Free radial forearm flap for reconstruction of postoperative defects in combined and complex treatment of patients with locally-advanced squamous cell carcinoma of the oral cavity

2020 ◽  
Vol 10 (1) ◽  
pp. 55-64
Author(s):  
H. Chen ◽  
A. M. Mudunov ◽  
R. I. Azizian ◽  
I. N. Pustynskiy ◽  
O. A. Saprina ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Free Flap ◽  
Locally Advanced ◽  
Functional Results ◽  
Radial Forearm Free Flap ◽  
Flap Necrosis ◽  
Radial Forearm

The study objective is to assess immediate and long-term results of replacing complex defects with a free radial forearm flap in the multimodal treatment of patients with locally advanced oral cavity squamous cell carcinoma. Materials and methods. Twenty eight patients (20 women and 8 men aged 23 to 71 years) with locally advanced oral cavity squamous cell carcinoma (including 10 buccal cancers, 8 carcinomas of tongue, 6 carcinomas of the floor of the mouth, 2 retromolar area carcinomas, 1 carcinoma of the hard palate and 1 carcinoma of alveolar region of the lower jaw) underwent tumor surgery with simultaneous plastic reconstruction of the defect using radial forearm free flap at the department of head and neck tumors of N. N. Blokhin National Medical Research Center of Oncology within 2010–2018. Primary tumors were detected in 2 patients and 11 patients had residual (n = 7) or recurrent (n = 4) tumors after radiotherapy or chemoradiotherapy. Results. An overall success rate was 96.4 %. Postoperative histology revealed that there were no tumor cells at the resection edges. Postoperative complications included: complete flap necrosis in 1 patient with severe concomitant diseases, marginal flap necrosis in 2 patients (in both cases after the necrotic tissue had rejected, wounds were healed by secondary intention), sural veins thrombosis in 1 patient, acute peptic ulcer bleeding on the 6th day after surgery in 1 patient treated with emergency endoscopic hemostasis. No lethal outcomes were reported. Postoperative period lasted in average 14 days. Upon subsequent observation tumor relapse in the oral cavity occurred in 4 (14.3 %) patients, relapses of regional metastases – in 2 (7.1 %). Good aesthetic and functional results were noted. Adequate restoration of breathing, chewing, swallowing and speaking resulted in a full patients’ rehabilitation. In all cases, the radial flap adapted well to the oral cavity organs and corresponded to the surrounding tissues in thickness and consistency. Conclusion. Use of a radial forearm free flap makes it possible to successfully reconstruct extensive and complex defects after surgery of locally advanced primary and recurrent forms of oral cavity squamous cell cancer of various locations. Due to flap’s high regenerative capabilities, preoperative radiation therapy does not affect the frequency of local complications. It allows restoring vital functions of the oral cavity and achieving good aesthetic and functional results.

Free flap combined with pectoralis major flap for reconstruction after total laryngopharyngectomy in patients with advanced hypopharyngeal carcinoma

2016 ◽  
Vol 136 (8) ◽  
pp. 841-846 ◽  
Author(s):  
Caiyun Zhang ◽  
Minhui Zhu ◽  
Mengjie Chen ◽  
Donghui Chen ◽  
Shicai Chen ◽  
...  
Keyword(s):  
Free Flap ◽  
Pectoralis Major ◽  
Hypopharyngeal Carcinoma ◽  
Pectoralis Major Flap

Functional reconstruction of subtotal glossectomy defects with radial forearm free flap: case report and review of literature

Folia Medica ◽  
2012 ◽  
Vol 54 (2) ◽  
pp. 60-65 ◽  
Author(s):  
Dimitar D. Pazardzhikliev ◽  
Christo D. Shipkov ◽  
Ilya P. Yovchev ◽  
Regina H. Khater ◽  
Ivailo S. Kamishev
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Donor Site ◽  
Perforator Flap ◽  
Functional Results ◽  
Donor Site Morbidity ◽  
Oral Feeding ◽  
Tram Flap ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

ABSTRACT Adequate reconstruction of defects that are consequences of glossectomy is of primary importance for achieving satisfactory functional results and improving the quality of life. AIM: The aim of this study was to report a case of free flap reconstruction of a subtotal glossectomy defect and discuss it in relation to other available methods. CASE REPORT: A 48- year-old woman was operated on for a T4N0M0 squamous cell carcinoma of the tongue. A subtotal glossectomy via mandibular swing procedure with bilateral supraomohyoid neck dissection and reconstruction with a radial forearm free flap (RFFF) was performed. Surgery was followed by adjuvant radiotherapy. RESULTS: The post-operative period was uneventful. The patient resumed intelligible speech evaluated as “excellent” and oral feeding. The donor site morbidity was acceptable. Present reconstructive options of the tongue include two categories: to maintain mobility or to provide bulk. In glossectomy with 30 to 50 percent preservation of the original musculature, maintaining the mobility of the remaining tongue by a thin, pliable flap is preferred. This can be achieved by infrahyoid myofascial, medial sural artery perforator flap, RFFF, anterolateral thigh and ulnar forearm flap. When the post-resectional volume is less than 30 percent of the original tongue, the reconstruction shifts to restoration of bulk to facilitate swallowing by providing contact of the neotongue with the palate. Flaps providing bulk include the free TRAM flap, latissimus dorsi myocutaneous free flap, pectoralis major musculocutaneous flap and trapezius island flap. CONCLUSION: Surgical treatment of advanced tongue cancer requires adequate reconstruction with restoration of speech, swallowing and oral feeding. Free tissue transfer seems to achieve superior functional results with acceptable donor site morbidity when indicated.

Transoral robotic-assisted free flap reconstruction after radiation therapy in hypopharyngeal carcinoma: report of two cases

2013 ◽  
Vol 270 (8) ◽  
pp. 2359-2364 ◽  
Author(s):  
Stéphane Hans ◽  
Thomas Jouffroy ◽  
David Veivers ◽  
Caroline Hoffman ◽  
Angélique Girod ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Free Flap ◽  
Hypopharyngeal Carcinoma ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Robotic Assisted

PD.167 Functional results of the hand after the useof the radial forearm free flap

2005 ◽  
Vol 1 (1) ◽  
pp. 117
Author(s):  
A. Manousaki ◽  
A. Loupatatzi ◽  
S. Stavrianos ◽  
G. Lagogiannis ◽  
C. Assimomitis ◽  
...  
Keyword(s):  
Free Flap ◽  
Functional Results ◽  
Radial Forearm Free Flap ◽  
Radial Forearm
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