Transoral resection with buccinator flap reconstruction vs. pull-through resection and free flap reconstruction for the management of T1/T2 cancer of the tongue and floor of the mouth

2020 ◽  
Vol 48 (5) ◽  
pp. 514-520 ◽  
Author(s):  
Andrea Ferri ◽  
Giuseppe Perlangeli ◽  
Nausica Montalto ◽  
Jose Luis Carrillo Lizarazo ◽  
Bernardo Bianchi ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Floor Of The Mouth ◽  
Pull Through ◽  
Transoral Resection

Pull-through resection without free-flap reconstruction for lateral wall oropharyngeal cancer

2020 ◽  
Vol 50 (9) ◽  
pp. 1018-1022
Author(s):  
Fumihiko Matsumoto ◽  
Kenya Kobayashi ◽  
Go Omura ◽  
Satoko Matsumura ◽  
Yoshifumi Matsumoto ◽  
...  
Keyword(s):  
Free Flap ◽  
Surgical Techniques ◽  
Oral Intake ◽  
Lateral Wall ◽  
Transoral Robotic Surgery ◽  
Digastric Muscle ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Post Operation ◽  
Pull Through

Abstract Background While transoral robotic surgery (TORS) is widely used for the management of lateral wall oropharyngeal carcinomas (OPC), open surgical techniques are still used in some cases. A pull-through method for open surgical resections of OPC has recently been introduced. We improved on this method by eliminating the need for subsequent free-flap reconstruction. Methods 16 patients with lateral wall OPC underwent pull-through resections. After resection, we used the digastric muscle, stylohyoid muscles, submandibular gland and the surrounding tissues to block the neck and oral cavity and to avoid reconstruction. Results This novel technique was performed without major complications or morbidities. The average post-operative hospital stay was 14.6 ± 6.1 days, and the average duration until initiation of oral intake post-operation was 6.5 ± 2.9 days. Oncological outcomes, post-operative course and function were acceptable. Conclusions Our novel method provides an efficient and less invasive surgical technique than conventional open approaches.

Orbital Outcomes after Periorbital Free Flap Reconstruction

2019 ◽  
Author(s):  
Ramez Philips ◽  
Alexander Graf ◽  
Michael Topf ◽  
Howard Krein ◽  
Ryan Heffelfinger ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

Technical Considerations in Pedicle Management in Upper and Midfacial Free Flap Reconstruction

2021 ◽  
Author(s):  
Brian Swendseid ◽  
Matthew Stewart ◽  
Eric Mastrolonardo ◽  
Eleanor McCreary ◽  
Ryan Heffelfinger ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Technical Considerations

Free Flap Reconstruction of the Anterior Skull Base: A Systematic Review

2021 ◽  
Author(s):  
Rajan P. Dang ◽  
Abhinav R. Ettyreddy ◽  
Zain Rizvi ◽  
Michelle Doering ◽  
Angela L. Mazul ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Free Flap ◽  
High Reliability ◽  
Anterior Skull Base ◽  
Microvascular Reconstruction ◽  
Complication Rates ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Comprehensive Search

Abstract Objectives Given the limitations in the available literature, the precise indications, techniques, and outcomes of anterior skull base free flap reconstruction remain uncertain. The objective of this study was to perform a systematic review of published literature and evaluate indications, methods, and complications for anterior skull base free flap reconstruction. Methods A systematic review of the literature was performed using a set of search criteria to identify patients who underwent free flap reconstruction of the anterior skull base. Articles were reviewed for inclusion based on relevance, with the primary outcome being surgical complications. Results After a comprehensive search, 406 articles were obtained and 16 articles were ultimately found to be relevant to this review—79 patients undergoing free flap reconstruction were identified. Overall complication rates were 17.7% (95% confidence interval [CI]: 16.6–33.1%) for major complications and 19.0% (95% CI: 17.8–35.5%) for minor complications. Conclusion Microvascular reconstruction of the anterior skull base is feasible with high reliability reported in the literature.

scholarly journals Analysis of speech and swallowing and quality of life in patients undergoing subtotal glossectomy with free flap reconstruction followed by radiotherapy

2021 ◽  
Vol 8 (1) ◽  
pp. 37-41
Author(s):  
Angelos Mantelakis ◽  
Konstantinos Vachtsevanos ◽  
Harry V. M. Spiers ◽  
Christina Gavriilidou ◽  
Stamatis Sapountzis
Keyword(s):  
Quality Of Life ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction
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