Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?
| Autor: | Mudit Agarwal, Anshu Chopra, Abhishek K. Singh, Kiran Joshi, Shashank Chaudhary, Manikandan Venkatasubramaniyan |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adipomyofascial flap Surgical Flaps Resection 03 medical and health sciences 0302 clinical medicine Swallowing medicine Humans 030223 otorhinolaryngology Retrospective Studies Adjuvant radiotherapy business.industry Locoregional flap Cancer Retrospective cohort study Submental platysmal flap General Medicine Plastic Surgery Procedures medicine.disease Surgery Oropharyngeal Neoplasms Otorhinolaryngology Male patient 030220 oncology & carcinogenesis Submental flap Female Mouth Neoplasms Neurosurgery business Head and Neck |
| Zdroj: | European Archives of Oto-Rhino-Laryngology |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | Purpose To introduce modified submental platysmal adipomyofascial flap as a new and viable hairless locoregional option for reconstruction of small- to mid-sized defects after ablative surgery in oral/oropharyngeal cancer patients keeping in mind the present pandemic situation. Methods An observational retrospective study was conducted using modified submental platysmal adipomyofascial flap as a locoregional reconstructive option for both intraoral and oropharyngeal defects in early-stage oral/oropharyngeal cancer patients, from Jan 2016 to May 2020 in a tertiary care hospital. All patients in this study were male and the overall flap outcome was evaluated with post-operative follow-up. Results Out of 18 patients, in 4 patients modified submental platysmal adipomyofascial flap was used as a combination of flaps for reconstruction. Six patients (33.33%) underwent adjuvant radiation therapy/radiation chemotherapy. The long-term functions (speech and swallowing) and cosmetic outcomes were good in the majority of the patients. One patient (5.55%) had pinhole oroantral fistula. No patient had any major flap failure. Conclusion Modified submental platysmal adipomyofascial flap can be considered as a good alternative in male patients for reconstruction of small- to mid-sized oral cavity/oropharyngeal defects post-resection, especially during the prevailing pandemic crisis. It is an oncologically safe procedure with the major advantage of providing a hairless flap for oral cavity, tonsillar and BOT resection defects with lesser donor site morbidity. |
| Databáze: | OpenAIRE |
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