Ossification of the Vascular Pedicle After Microsurgical Soft Tissue Transfer of the Lateral Upper Arm Free Flap
| Autor: | Rüdiger Zimmerer, Philipp Jehn, Simon Spalthoff, Mykola Fedchenko, Nils-Claudius Gellrich, Jan Dittmann |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Graft Rejection
Male Microsurgery medicine.medical_specialty Microvascular surgery Soft tissue transfer Context (language use) Free flap 030230 surgery Risk Assessment Surgical Flaps Cohort Studies 03 medical and health sciences 0302 clinical medicine Osteogenesis medicine Humans Retrospective Studies Surgical approach Vascular pedicle Ossification business.industry Graft Survival Head and neck cancer Middle Aged Plastic Surgery Procedures medicine.disease Myocutaneous Flap Surgery Treatment Outcome Head and Neck Neoplasms 030220 oncology & carcinogenesis Arm Carcinoma Squamous Cell Female Mouth Neoplasms Neoplasm Recurrence Local medicine.symptom business Follow-Up Studies |
| Zdroj: | Annals of Plastic Surgery. 83:e39-e42 |
| ISSN: | 1536-3708 0148-7043 |
| DOI: | 10.1097/sap.0000000000001876 |
| Popis: | Reconstruction of intraoral defects is one of the main aspects of head and neck cancer treatment. Since the advent of microvascular surgery in this field, free flap tissue transfer has become a common procedure, and various flaps have been described for soft tissue reconstruction. The lateral upper arm free flap is one of the most frequently used flaps for intraoral defect coverage. This article describes ossification of the corresponding vascular pedicle after soft tissue transfer with the lateral upper arm free flap and microsurgical anastomosis in oral cancer treatment. Similar findings in the context of the lateral upper arm free flap have never been reported in the literature; however, it is important for surgeons to know that pedicle ossification can occur. This knowledge may be helpful to avoid erroneous diagnosis of the ossification as a sign of tumor relapse/recurrence as well as to anticipate potential difficulties in the surgical approach in cases requiring reentry of the reconstructed region, for example, in relapse/recurrence of head and neck cancer. |
| Databáze: | OpenAIRE |
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