RT Generic
T1 Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review
A1 Infante-Cossio, Pedro
A1 Gonzalez-Cardero, Eduardo
A1 Lopez-Martos, Ricardo
A1 Nunez-Vera, Victoria
A1 Olmos-Juarez, Erika
A1 Ruiz-Moya, Alejandro
A1 Haro-Luna, Juan-Jose
A1 Torres-Carrranza, Eusebio
K1 infrahyoid flap
K1 pedicled flap
K1 oropharyngeal cancer
K1 oropharyngeal reconstruction
K1 oropharynx defects
K1 functional outcomes
K1 Myocutaneous flap
K1 Neck reconstruction
K1 Musculocutaneous flap
K1 Pharyngeal defects
K1 Pedicled flaps
K1 Oral-cavity
K1 Muscle flap
K1 Head
K1 Surgery
K1 Cancer
AB The present study aimed to describe the techniques used and the results obtained with the infrahyoid flap for the reconstruction of medium-sized oropharyngeal defects following resection for advanced squamous cell cancer. During a period of 1 year, six patients with oropharyngeal defects were reconstructed using the infrahyoid flap. The tumor characteristics, location and size of the defect, resective and reconstructive techniques employed and the complications and outcomes of the speech and swallowing functions, as identified in the follow-up visits every 3 months, were evaluated. All flaps were performed simultaneously in association with tumoral excision and ipsilateral supraomohyoid neck dissection. The mean size of the skin paddle was 7.0x3.5 cm. The donor site was primarily sutured. The postoperative course was uneventful and all flaps were viable. One case of marginal skin paddle loss occurred without affecting the survival of the flap. Five patients received postoperative radiotherapy and one patient received concurrent postoperative chemotherapy. During the follow-up period (mean, 63 months), all patients showed excellent oral swallowing. Speech was excellent in five patients and in one patient speech was classified as good. The aesthetic results of the cervical donor site were good. Based on the present case report and the literature review, the infrahyoid flap is a simple and safe procedure for the reconstruction of the oropharynx, with a high success rate, minimal donor site morbidity and good aesthetic and functional results. The infrahyoid flap is a valid surgical option that may be considered in selected oncological patients undergoing reconstruction of medium-size oropharyngeal defects.
PB Spandidos publ ltd
SN 1792-1074
YR 2016
FD 2016-05-01
LK http://hdl.handle.net/10668/19341
UL http://hdl.handle.net/10668/19341
LA en
DS RISalud
RD Apr 15, 2025