Cervical island skin flap for intraoral repair following cancer surgery.
Seventy three patients with oral cancer were operated on using the cervical island skin flap of Farr et al. (1969). Primary sites of the lesions were the tongue, floor of the mouth and lower gingiva. Most of the patients received total doses of 22.5 Gy of radiation and 110 mg bleomycin as a preoperative treatment. Among the 73 patients, complete necrosis of the skin island was observed in 3 cases. There was half necrosis in 4 cases, one quarter necrosis in 6 cases and marginal necrosis in 17 cases. The flaps in 43 patients completely survived. Results were better in the operations undertaken in the last 4 years in which a superficial layer of deep cervical fascia on the sternocleidomastoid muscle was included in the flap.
Tashiro
H
H
First Department of Oral Surgery, Faculty of Dentistry, Kyushu University, Fukuoka, Japan.
Ozeki
S
S
Ohishi
M
M
Higuchi
Y
Y
D000328:Adult; D000367:Age Factors; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D005887:Gingival Neoplasms / Q000601:surgery; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009060:Mouth Floor / Q000601:surgery; D009062:Mouth Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D009333:Neck; D009336:Necrosis; D016038:Skin Transplantation / Q000009:adverse effects / Q000379:methods* / Q000473:pathology; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods* / Q000473:pathology; D014062:Tongue Neoplasms / Q000601:surgery