title: [Reconstruction of soft tissue defects in oral and maxillofacial regions after tumors surgery using cervical pedicle tissue flaps].
abstract: OBJECTIVE
  To report 4 methods of reconstructing soft tissue defects in oral and maxillofacial regions after tumors resection using cervical pedicle tissue flaps.
  
  
  METHODS
  One hundred seventy-two soft tissue defects were repaired with cervical myocutaneous flaps after resection of oral and facial cancer (165 cases of squamous cell carcinoma and 7 cases of salivary carcinoma). The clinical stage of the tumors was stage I in 21 cases, stage II in 116 cases and stage III in 35 cases. Primary sites of the lesions were the tongue (59 cases), buccal mucosa (55 cases), lower gingiva (26 cases), floor of the mouth (25 cases), parotid gland (4 cases) and oropharynx (3 cases). Infrahyoid myocutaneous flaps were used in 60 cases, platysma flaps in 45 cases, sternocleidomastoid flaps in 59 cases and submental island flaps in 8 cases. The sizes of skin paddle ranged from 2.5 cm x 5.0 cm to 5.0 cm x 8.0 cm.
  
  
  RESULTS
  Among 153 survival flaps, there were 55 infrahyoid myocutaneous flaps, 40 platysma flaps, 52 sternocleidomastoid flaps and 6 submental island flaps. There were 11 cases of total flap necrosis and 8 cases of partial flap necrosis. The success rates were 91.67% (55/60) for infrahyoid myocutaneous flap, 88.89% (40/45) for platysma flap, 88.14% (52/59) for sternocleidomastoid flap and 75% (6/8) for submental island flap. After a follow-up of 3 11 years (5.7 years on average) among 101 cases local recurrence in 18 cases, cervical recurrence in 4 cases, distance metastasis in 2 cases. The survival rate at 3 years were 83.17% (84/101).
  
  
  CONCLUSIONS
  Cervical pedicle tissue flaps have clinical value in reconstruction of small and medium-sized soft tissue defects after resection of oral and maxillofacial tumors.
authors.affiliation: Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan Hubei, 430079, PR China. Yifang@public.wh.hb.cn
authors.forename: Yifang
authors.initials: Y
authors.lastname: Zhao
authors.forename: Wenfeng
authors.initials: W
authors.lastname: Zhang
authors.forename: Jihong
authors.initials: J
authors.lastname: Zhao
authors.forename: Zubin
authors.initials: Z
authors.lastname: Li
authors.forename: Sangang
authors.initials: S
authors.lastname: He
mesh_terms: D000328:Adult; D000368:Aged; D005153:Facial Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery; D009333:Neck / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D017695:Soft Tissue Injuries / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome