Gastro-omental free flaps in oral and oropharyngeal reconstruction:surgical anatomy, complications, outcomes.
Free gastro-omental flaps can be used to reconstruct defects in the oral cavity after ablative cancer surgery. The omentum can provide as much bulk as required. The generous gastro-omental pedicle allows mobility. The gastric mucosal lining has the advantage that it produces mucus, does not carry hair follicles and is not prone to troublesome desquamation. This paper reviews the surgical anatomy of free gastro-omental flaps and presents a series of eight cases in which these flaps were used for oral and oropharyngeal reconstruction.
Gallagher
J
J
Department of Oral and Maxillofacial Surgery, Poole Hospital, Poole, UK. j.gallagher@cwcom.net
Webb
A
A
Ilankovan
V
V
D018784:Abdominal Abscess / Q000209:etiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D009092:Mucous Membrane / Q000637:transplantation; D009852:Omentum / Q000637:transplantation*; D019647:Oral Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D019226:Oral Ulcer / Q000209:etiology; D009959:Oropharyngeal Neoplasms / Q000601:surgery; D010612:Pharyngitis / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D013270:Stomach / Q000601:surgery; D013364:Submandibular Gland Diseases / Q000209:etiology; D013524:Surgical Flaps; D016896:Treatment Outcome