[Extended lower trapezius myocutaneous flap for repair of defects after resection of recurrent oral carcinoma].
OBJECTIVE
To explore an effective repairing method for oral and maxillofacial soft-tissue defects after resection of recurrent oral carcinoma.


METHODS
Six patients with recurrent oral squamous cell carcinoma (R-OSCC) of tongue (n = 2), oral cavity floor (n = 2) and buccal (n = 2) were treated with salvage surgery and the oral and maxillofacial soft-tissue defects were repaired primarily by extended lower trapezius island myocutaneous flap (TIMF).


RESULTS
No flap failure occurred. The donor sites were primarily closed. There were no disabilities with regard to shoulder motion. The life period of the patients was 13 to 30 months and the average life period was 22.6 months after the operation.


CONCLUSIONS
The TIMF, which is a simple, reliable and large flap can be preferred as a salvage procedure for oral and maxillofacial soft-tissue defects after treatment of R-OSCC.
Chen
Wei-liang
WL
Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital, Sun Yat-sen University, Guangzhou 510120, China. drchen@vip.163.com
Peng
Guo-guang
GG
Yang
Zhao-hui
ZH
Huang
Zhi-quan
ZQ
Li
Jin-song
JS
Zhang
Bin
B
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010369:Pectoralis Muscles / Q000601:surgery*; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps