[Choice of methods for reconstruction of the cheek after carcinologic excision based on a retrospective study of 32 cases in 8 years from 1980 to 1987 at the Gustave Roussy Institute].
In this article, after reviewing the different possibilities for cheek reconstruction consecutive to carcinologic excision, we specify the choice method for closure, according to the anatomical type of substance loss incurred. In all cases, endobuccal skin covering is needed. --As regards small lesions, there is no such thing as "the" ideal flap. --As far as tegumental cheeks are concerned, the deltopectoral flap is the choice one. --In case of mucous reconstruction, submental flaps afford elegant solutions. --With large lesions, musculocutaneous flaps are best used. Lastly, it seems that the first surgical treatment (excision, curage and plasty) followed or not by radiotherapy, depending on anatomopathological findings, brings acceptable and prompt restoration of function and morphology.
Jellouli
M
M
Département d'ORL et de Chirurgie Cervico-Faciale, Villejuif.
Soussaline
M
M
Richard
J M
JM
Luboinski
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002610:Cheek; D005153:Facial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps
Choix des méthodes de reconstruction de la joue aprés exérèse carcinologique au vu d'une étude rétrospective de 32 cas sur 8 ans de 1980 à 1987, à L'institut Gustave Roussy.