[The gastro-omental flap: a secreting mucous flap for reconstruction of the oropharynx and the oral cavity].
The gastro-omental flap consists of a patch taken from the greater curvature of the stomach and the bordering omentum. It is based on the right gastro epiploic vessels and is used as a free flap for intraoral reconstruction after resection of oral carcinoma. Twenty patients underwent gastro-omental flap. The operative technique is described. The evaluation consisted in questioning, chemism on the salivary flow and biopsies. There is no morbidity related with the donor site. The gastro-omental flap avoids post irradiation xerostomia. Oral irritation and bleeding of the flap may occur.
Braye
F
F
Service de Chirurgie Maxillo-Faciale, Centre Hospitalier Lyon Sud, Pierre-Bénite.
Breton
P
P
Caillot
J L
JL
Franc
C
C
Freidel
M
M
D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum; D009959:Oropharyngeal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D011706:Pyloric Antrum; D013524:Surgical Flaps
D000970:Antineoplastic Agents
Le lambeau gastro-épiploïque: un lambeau muqueux sécrétant pour la reconstruction de l'oropharynx et de la cavité buccale.