Reconstruction of intraoral defects after cancer surgery using cervical pedicle flaps.
OBJECTIVE
This article reports the results of using cervical myocutaneous flaps for reconstruction of small- and medium-sized oral defects.


METHODS
One hundred thirty-one cervical pedicle flaps were used for reconstruction of the defects after resection of oral cancer. Primary sites of the lesions were the tongue, buccal mucosa, floor of the mouth, and lower gingiva.


RESULTS
Infrahyoid myocutaneous flaps were used in 53 cases, sternocleidomastoid flaps in 47 cases, and platysma flaps in 31 cases. Among the 131 patients, there was complete necrosis of the skin paddle in 5 cases and partial necrosis in 7 cases. The success rate was 92.5%, 89.4%, and 90.3%, respectively for the 3 types of flaps.


CONCLUSIONS
It was concluded that cervical pedicle flaps have clinical value in selected patients needing reconstruction of small- and medium-sized defects after intraoral cancer surgery.
Zhao
Y F
YF
Department of Oral and Maxillofacial Surgery, College & Hospital of Stomatology, Wuhan University, Wuhan, People's Republic of China. yifang@public.wh.hb.cn
Zhang
W F
WF
Zhao
J H
JH
D000328:Adult; D000368:Aged; D005260:Female; D005887:Gingival Neoplasms / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009060:Mouth Floor / Q000601:surgery; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D009334:Neck Muscles / Q000601:surgery*; D009336:Necrosis; D019647:Oral Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation; D014062:Tongue Neoplasms / Q000534:rehabilitation / Q000601:surgery; D016896:Treatment Outcome