Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review.
The present study aimed to describe the techniques used and the results obtained with the infrahyoid flap for the reconstruction of medium-sized oropharyngeal defects following resection for advanced squamous cell cancer. During a period of 1 year, six patients with oropharyngeal defects were reconstructed using the infrahyoid flap. The tumor characteristics, location and size of the defect, resective and reconstructive techniques employed and the complications and outcomes of the speech and swallowing functions, as identified in the follow-up visits every 3 months, were evaluated. All flaps were performed simultaneously in association with tumoral excision and ipsilateral supraomohyoid neck dissection. The mean size of the skin paddle was 7.0×3.5 cm. The donor site was primarily sutured. The postoperative course was uneventful and all flaps were viable. One case of marginal skin paddle loss occurred without affecting the survival of the flap. Five patients received postoperative radiotherapy and one patient received concurrent postoperative chemotherapy. During the follow-up period (mean, 63 months), all patients showed excellent oral swallowing. Speech was excellent in five patients and in one patient speech was classified as good. The aesthetic results of the cervical donor site were good. Based on the present case report and the literature review, the infrahyoid flap is a simple and safe procedure for the reconstruction of the oropharynx, with a high success rate, minimal donor site morbidity and good aesthetic and functional results. The infrahyoid flap is a valid surgical option that may be considered in selected oncological patients undergoing reconstruction of medium-size oropharyngeal defects.
Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Pedro
P
Infante-Cossio
Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Eduardo
E
Gonzalez-Cardero
Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Ricardo
R
Lopez-Martos
Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Victoria
V
Nuñez-Vera
Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Erika
E
Olmos-Juarez
Department of Plastic and Reconstructive Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Alejandro
A
Ruiz-Moya
Department of Oral and Maxillofacial Surgery, Santa Lucía Hospital, Cartagena, Murcia 30202, Spain.
Juan-Jose
JJ
Haro-Luna
Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain.
Eusebio
E
Torres-Carrranza
functional outcomes; infrahyoid flap; oropharyngeal cancer; oropharyngeal reconstruction; oropharynx defects; pedicled flap