Regional Flaps in Head and Neck Reconstruction: A Reappraisal

被引:20
|
作者
Colletti, Giacomo [1 ]
Tewfik, Karim [1 ]
Bardazzi, Alessandro [1 ]
Allevi, Fabiana [1 ]
Chiapasco, Matteo [2 ]
Mandala, Marco [3 ]
Rabbiosi, Dimitri [1 ]
机构
[1] Univ Milan, San Paolo Hosp, Dept Biomed Surg & Dent Sci, Div Maxillofacial Surg, I-20121 Milan, Italy
[2] Univ Milan, San Paolo Hosp, Dept Biomed Surg & Dent Sci, Div Oral Surg, I-20121 Milan, Italy
[3] Univ Verona, Dept Otolaryngol, I-37100 Verona, Italy
关键词
MYOCUTANEOUS FLAP; ORAL-CAVITY; COMPLICATIONS; OUTCOMES; DEFECTS; PALATE; COST; SITE;
D O I
10.1016/j.joms.2014.10.021
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: Starting from our experience with 45 consecutive cases of regional pedicled flaps, we have underlined the effectiveness and reliability of a variety of flaps. The marketing laws as applied to surgical innovations are reviewed to help in the understanding of why regional flaps are regaining wide popularity in head and neck reconstruction. Materials and Methods: From January 2009 to January 2014, 45 regional flaps were harvested at San Paolo Hospital to reconstruct head and neck defects. These included 35 pectoralis major muscular and myocutaneous flaps, 4 lower trapezius island or pedicled flaps, 3 supraclavicular flaps, 2 latissimus dorsi pedicled flaps, and 1 fasciocutaneous temporal flap. The basic literature of marketing regarding the diffusion of new products was also reviewed. Results: Two myocutaneous pectoralis major flaps were complicated by necrosis of the cutaneous paddle (one complete and one partial). No complete loss of any of the 45 flaps was observed. At 6 months of follow-up, 2 patients had died of multiple organ failure after prolonged sepsis. The 43 remaining patients had acceptable morphologic and functional results. Conclusions: Regional and free flaps appear to compete in many cases for the same indications. From the results of the present case series, regional flaps can be considered reliable reconstructive choices that are less expensive than their free flap alternatives. The "resurrection'' of regional flaps can be partially justified by the changes in the global economy and the required adaptation of developed and developing countries. (C) 2015 American Association of Oral and Maxillofacial Surgeons
引用
收藏
页码:571.e1 / 571.e10
页数:10
相关论文
共 50 条
  • [31] Free flaps in reconstruction for head and neck cancer
    Dassonville, O.
    Poissonnet, G.
    Santini, J.
    Bozec, A.
    ONCOLOGIE, 2009, 11 (03) : 147 - 151
  • [32] Local and Regional Flaps of the Head and Neck Preface
    Lam, Din
    Strauss, Robert A.
    ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2014, 26 (03) : XI - XII
  • [33] PARASCAPULAR FREE FLAPS FOR HEAD AND NECK RECONSTRUCTION
    CHANDRASEKHAR, B
    LORANT, JA
    TERZ, JJ
    AMERICAN JOURNAL OF SURGERY, 1990, 160 (04): : 450 - 453
  • [34] Second free flaps in head and neck reconstruction
    Ross, Gary
    Yla-Kotola, Tuija M.
    Goldstein, David
    Zhong, Toni
    Gilbert, Ralph
    Irish, Jonathan
    Gullane, Patrick J.
    Hofer, Stefan O. P.
    Neligan, Peter C.
    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2012, 65 (09): : 1165 - 1168
  • [35] REFINEMENTS IN FREE FLAPS FOR HEAD AND NECK RECONSTRUCTION
    BANIS, JC
    SWARTZ, WM
    CLINICS IN PLASTIC SURGERY, 1990, 17 (04) : 673 - 682
  • [36] Thinned Perforator Flaps in Head and Neck Reconstruction
    Sun, Jeremy Mingfa
    Yamamoto, Takumi
    ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2024, 36 (04) : 537 - 544
  • [37] INDICATIONS OF FREE FLAPS IN HEAD AND NECK RECONSTRUCTION
    DERAEMAECKER, R
    ANDRY, G
    CHANTRAIN, G
    GOLDSCHMIDT, D
    LEJOUR, M
    DOR, P
    ACTA CHIRURGICA BELGICA, 1989, 89 (03) : 138 - 146
  • [38] The evolving role of free flaps and pedicled flaps in head and neck reconstruction
    Hayden, Richard E.
    Nagel, Thomas H.
    CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2013, 21 (04): : 305 - 310
  • [39] Perforator Flaps and Robotic Surgery for Head and Neck Reconstruction
    Riva, Francesco M. G.
    Kerawala, Cyrus
    ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2024, 36 (04) : 557 - 566
  • [40] ADIPOFASCIAL PERFORATOR FLAPS FOR "AESTHETIC'' HEAD AND NECK RECONSTRUCTION
    Hanasono, Matthew M.
    Skoracki, Roman J.
    Silva, Amanda K.
    Yu, Peirong
    HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2011, 33 (10): : 1513 - 1519