[Reconstructive oncologic surgery of the head and neck. Morbidity and comparative results of conventional and myocutaneous flaps].
The authors analyzed the data obtained from their experiences in extensive head and neck resections, and, reconstructive treatments using myocutaneous and conventional flaps. They tried to evaluate comparatively the reconstructive approach, in terms of morbidity and functional results. The 145 cases of advanced had and neck cancer, treated from January 1990 to January 1994, were considered in this study. The reconstructive procedures consisted of 193 flaps. In this study, 106 were myocutaneous flaps (pectoralis major or trapezius flap); 72 were conventional flaps (fasciocutaneous, cutaneous or muscular only) and the remainder were 15 free flaps. The morbidity related to both flap procedures had been low: 33% in myocutaneous flaps versus 11% in conventional flaps. This report demonstrated the versatility, usefulness, and reliability of both kinds of these reconstructive procedures, especially in intra-oral reconstruction. The expected morphological and functional results were quite encouraging in terms of swallowing and speech.
Pompei
S
S
Servizio di Chirurgia Plastica e Ricostruttiva, Istituto Nazionale Tumori Regina Elena, Roma.
Caravelli
G
G
Bozza
F
F
Vigili
M G
MG
Marzetti
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003679:Deglutition; D005069:Evaluation Studies as Topic; D005153:Facial Neoplasms / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D009959:Oropharyngeal Neoplasms / Q000601:surgery; D013060:Speech; D013524:Surgical Flaps
Chirurgia ricostruttiva oncologica cervico-facciale. Morbilità e risultati comparativi tra lembi convenzionali e miocutanei.