Impact of internal mammary artery perforator propeller flap in neck resurfacing and fistula closure after salvage larynx cancer surgery: Our experience
Autor: | Gaetano Paludetti, Marzia Salgarello, Aurora Almadori, Giuseppe Visconti, Giovanni Di Cintio, Dario Antonio Mele, Stefano Settimi, Eugenio De Corso, Giovanni Almadori |
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Rok vydání: | 2019 |
Předmět: |
Male
Larynx internal mammary artery perforator flap medicine.medical_specialty reconstruction salvage surgery medicine.medical_treatment Laryngectomy head and neck squamous cell carcinoma Disease-Free Survival 03 medical and health sciences Postoperative Complications 0302 clinical medicine Pharyngectomy Humans Medicine Mammary Arteries 030223 otorhinolaryngology Laryngeal Neoplasms total laryngectomy Aged Retrospective Studies Aged 80 and over Salvage Therapy business.industry Chemoradiotherapy Fistula closure Middle Aged Plastic Surgery Procedures medicine.disease Head and neck squamous-cell carcinoma Surgery Survival Rate medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Mammary artery Female Salvage surgery Settore MED/31 - OTORINOLARINGOIATRIA business Perforator Flap Cancer surgery |
Zdroj: | Head & Neck. 41:3788-3797 |
ISSN: | 1097-0347 1043-3074 |
Popis: | BACKGROUND Salvage total laryngectomy (TL) and laryngopharyngectomy (LP) after chemoradiotherapy may produce disfiguring defects with severe complications that require complex reconstructions. METHODS Between January 2012 and December 2018, we enrolled 25 patients who underwent internal mammary artery perforator (IMAP) flap reconstruction after salvage TL or LP. We performed retrospective review of clinical charts to collect information such as history, timing of reconstruction, type of defect, follow-up, donor and recipient site complications, and overall flap survival (OFS) rate. Three years overall survival (OS), relapse-free survival (RFS), and disease-specific survival (DSS) were calculated. RESULTS The OFS rate was 95%. One partial flap necrosis was recorded. No donor-site complications were found. The mean follow-up was 18 months. Three years OS was 44%, RFS was 47%, and DSS was 54%. CONCLUSIONS IMAP flap appears to be safe, versatile, and easy to harvest, with minimal donor site morbidity. It is a reliable option in Head&Neck reconstruction, in salvage surgery as well. |
Databáze: | OpenAIRE |
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