[Gastro-omental free flap: technique, indications and results in buccopharyngeal reconstruction after cancer excision. Apropos of 7 cases].
The gastro-omental flap is centered around the midportion of the greater curve of the stomach, with the attached omentum. The flap is based on the right gastro-epiploïc pedicle. The size of the mucosal patch is adaptable. This flap offers several practical advantages: great plasticity (including the omentum), large length and size of the pedicle, mucus secretion which may improve xerostomia, and less morbidity. Disadvantages include the propensity for excessive mucus production (needing tracheotomy), the requirement for an abdominal operation, and the possibility of peptic ulceration (no case reported in the literature). Seven patients have been treated, with a good result. This flap is suitable for repair of complex soft-tissue defects after extensive cancer surgery.
Breton
P
P
Service de Stomatologie, Chirurgie Maxillo-Faciale et Chirurgie Plastique de la Face, Centre hospitalier Lyon-Sud, Pierre-Benite.
Soulhiard
F
F
Caillot
J L
JL
Freidel
M
M
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D013270:Stomach / Q000601:surgery; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps
Le lambeau gastro-épiploïque libre: technique, indications et résultats dans la reconstruction bucco-pharyngée après exérèse carcinologieque. A propos de sept observations.