[Microsurgery and free flaps as indications for the reconstruction of the mouth and pharynx region following tumor resection].
This article describes the microsurgical approach of the head and neck team of the Bordet Institute. During a period of 2 1/2 years 35 free flaps, 71 Pectoralis Major and 9 local flaps were performed for oropharyngeal reconstruction. Different types of free flaps were used and analyzed: 15 latissimus dorsi myocutaneous, 8 radial forearm, 1 gastric, 3 jejunum, 2 crista iliaca osteocutaneous, 1 scapular osteomyocutaneous, 3 scapular osteo-muscular of a new type (discovered in our department), 1 serratus anterior muscular and 1 flap composed of 3 others (a latissimus myocutaneous, a serratus anterior and a scapular osteo-muscular flap). 60% of the microvascular anastomoses were performed in a previously heavily irradiated area and none failed. The indications of some of these flaps are discussed and summarized.
Deraemaecker
R
R
Institut Bordet, Université Libre de Bruxelles, Bruxelles.
Andry
G
G
Chantrain
G
G
Goldschmidt
D
D
Lejour
M
M
Dor
P
P
D016025:Bone Transplantation / Q000379:methods; D005753:Gastric Mucosa / Q000637:transplantation; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D009055:Mouth / Q000601:surgery*; D009132:Muscles / Q000637:transplantation; D010614:Pharynx / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D014182:Transplantation, Autologous / Q000379:methods; D016042:Transplantation, Heterotopic / Q000379:methods
Microchirurgie en vrije flappen als indicatie voor de reconstructie van mond- en farynxregio na tumorale resectie.