[A temporal fascio-cutaneous island flap in the mucosal reconstruction of the oropharynx and the mouth after oncologic surgery. Apropos of 22 cases].
The temporal fasciocutaneous scalp flap (TFSF) is used as mucosal reconstruction in 22 oropharyngeal and oral carcinomas. The anatomical basis of the flap and the clinical observations are described. The qualities of such a flap clearly appear: high liability and plasticity, perfectly adapted with oropharyngeal and oral mucosal loss. However attention must be payed to reconstruction of the anterior floor of the mouth which seems to be the limit of the rotation arc. Within these limits the TFSH has an inconspicuous donor site scar and low morbidity quite resumed by the hair regrowth on the intral-oral skin paddle.
David
J M
JM
Service d'O.R.L. et de Chirurgie Cervico-Faciale, Centre Claudius Regaud, Toulouse.
Paoli
J R
JR
Bejjani
W
W
Bonnet
F
F
Bachaud
J M
JM
Barthelemy
I
I
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery*; D002610:Cheek / Q000601:surgery; D003131:Combined Modality Therapy; D004954:Esthetics; D005205:Fascia / Q000637:transplantation*; D006801:Humans; D009055:Mouth / Q000601:surgery*; D009060:Mouth Floor / Q000601:surgery; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D009959:Oropharyngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D009960:Oropharynx / Q000601:surgery*; D010157:Palatal Neoplasms / Q000601:surgery; D010160:Palate, Soft / Q000601:surgery; D016038:Skin Transplantation / Q000009:adverse effects / Q000379:methods*; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods*; D013703:Temporal Muscle
Le lambeau fascio-cutané temporal en îlot dans la reconstruction muqueuse de l'oropharynx et de la cavité buccale après exérèse carcinologique. A propos de 22 observations.