scholarly journals Reconstructive Surgery for Head and Neck Cancer Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-28 ◽  
Author(s):  
Matthew M. Hanasono
Keyword(s):  
Head And Neck ◽  
Paradigm Shift ◽  
Wound Closure ◽  
Neck Surgery ◽  
Normal Function ◽  
Head And Neck Reconstruction ◽  
Algorithmic Approach ◽  
Neck Reconstruction ◽  
The Past ◽  
Microvascular Free Flap

The field of head and neck surgery has gone through numerous changes in the past two decades. Microvascular free flap reconstructions largely replaced other techniques. More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance. The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.

Reporting of Cosmesis in Head and Neck Reconstruction: A Systematic Review

2018 ◽  
Vol 160 (4) ◽  
pp. 573-579
Author(s):  
Peter M. Vila ◽  
Tam Ramsey ◽  
Lauren H. Yaeger ◽  
Shaun C. Desai ◽  
Gregory H. Branham
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Neck Surgery ◽  
Patient Questionnaire ◽  
Head And Neck Reconstruction ◽  
Exclusion Criteria ◽  
Neck Reconstruction ◽  
Cosmetic Outcomes ◽  
Validated Instrument

Objective To identify the method and rate at which cosmesis is reported after reconstruction from head and neck surgery among adults. Data Sources A medical librarian implemented search strategies in multiple databases for head and neck reconstruction, outcome assessment/patient satisfaction, and cosmesis/appearance. Review Methods Inclusion and exclusion criteria were designed to capture studies examining adults undergoing reconstruction after head and neck cancer surgery with assessment of postoperative cosmesis. The primary outcome was the method to assess cosmesis. Secondary outcomes were types of instruments used and the rate at which results were reported. Validated instruments used in these studies were compared and critically assessed. Results The search identified 4405 abstracts, and 239 studies met inclusion and exclusion criteria. Of these, 43% (n = 103) used a scale or questionnaire to quantify the cosmetic outcome: 28% (n = 66), a visual analog, Likert, or other scale; 13% (n = 30), a patient questionnaire; and 3% (n = 7), both. Of the 103 studies that used an instrument, 14% (n = 14, 6% overall) used a validated instrument. The most common validated instrument was the University of Washington Quality of Life (UWQOL) questionnaire (4%, n = 9). The most highly rated instruments were the UWQOL and the Derriford Appearance Scale. Conclusions Reporting of cosmetic outcomes after head and neck cancer reconstruction is heterogeneous. Most studies did not report patient feedback, and a minority used a validated instrument to quantify outcomes. To reduce bias, improve reliability, and decrease heterogeneity, we recommend the UWQOL to study cosmetic outcomes after head and neck reconstruction.

The Internal Oblique-Iliac Crest Osseomyocutaneous Microvascular Free Flap in Head and Neck Reconstruction

1989 ◽  
Vol 5 (03) ◽  
pp. 203-214 ◽  
Author(s):  
Mark Urken ◽  
Carlin Vickery ◽  
Hubert Weinberg ◽  
Daniel Buchbinder ◽  
Hugh Biller
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Iliac Crest ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Internal Oblique ◽  
Microvascular Free Flap

scholarly journals Microvascular free-flap transfer for head and neck reconstruction in elderly patients

BMC Surgery ◽  
2013 ◽  
Vol 13 (Suppl 2) ◽  
pp. S27 ◽  
Author(s):  
Francesco Turrà ◽  
Simone Padula ◽  
Sergio Razzano ◽  
Paola Bonavolontà ◽  
Gisella Nele ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Head And Neck ◽  
Free Flap ◽  
Head And Neck Reconstruction ◽  
Flap Transfer ◽  
Neck Reconstruction ◽  
Free Flap Transfer ◽  
Microvascular Free Flap

scholarly journals Head and neck reconstruction using infrahyoid myocutaneous flaps

2006 ◽  
Vol 124 (5) ◽  
pp. 271-274 ◽  
Author(s):  
Alfio José Tincani ◽  
André Del Negro ◽  
Priscila Pereira Costa Araújo ◽  
Hugo Kenzo Akashi ◽  
Flávia da Silva Pinto Neves ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Head And Neck ◽  
Malignant Tumors ◽  
Postoperative Radiotherapy ◽  
Neck Surgery ◽  
Disease Stage ◽  
Head And Neck Reconstruction ◽  
Myocutaneous Flaps ◽  
Neck Reconstruction ◽  
Reliable Procedure

CONTEXT AND OBJECTIVE: The use of pedicled myocutaneous flaps in head and neck reconstruction is widely accepted. Here we describe our experience with infrahyoid flaps (IHFs) employed to cover surgical defects in the oral cavity and oropharynx in patients with benign and malignant tumors. The aim was to evaluate the success rate for infrahyoid myocutaneous flap procedures performed at a single institution. DESIGN AND SETTING: Retrospective study, at the Head and Neck Surgery Service, Unicamp. METHODS: Fourteen IHFs were used to reconstruct surgical defects in eleven men (78.5%) and three women (21.5%) with a mean age of 66.4 years. The anterior floor of the mouth was reconstructed in nine patients (64.2%), the base of tongue in three (21.4%), the lateral floor in one (7.1%), and the retromolar area (7.1%) in one. Thirteen patients (92.8%) had squamous cell carcinoma (SCC) and one (7.2%) ameloblastoma. The disease stage was T3 in eight (61.5%) of the SCC cases and T4 in five (38.5%). RESULTS: No patient presented total flap loss or fistula. The most common complication was epidermolysis, which delayed the beginning of oral ingestion. The patients with SCC received postoperative radiotherapy without major consequences to the flap. CONCLUSION: IHF is a safe and reliable procedure for reconstructing head and neck surgical defects. Due to its thinness and malleability, its use for oral cavity and oropharynx defects provides favorable cosmetic and functional outcomes. Complications, when present, are easy to manage.

scholarly journals Role of heparin in microvascular free flap surgery in head and neck reconstruction

2015 ◽  
pp. 534-538
Author(s):  
Gunjan Agrawal ◽  
Ashutosh Gupta ◽  
Vivek Choudhary ◽  
Santanu Tiwari ◽  
Kshitij Verma ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Head And Neck Reconstruction ◽  
Flap Surgery ◽  
Neck Reconstruction ◽  
Free Flap Surgery ◽  
Microvascular Free Flap
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