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www.T-Science.org       p-ISSN 2308-4944 (print)       e-ISSN 2409-0085 (online)
SOI: 1.1/TAS         DOI: 10.15863/TAS

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ISJ Theoretical & Applied Science 04(120) 2023

Philadelphia, USA

* Scientific Article * Impact Factor 6.630


Amiraliyev, K. N., et al.

Regional flaps in reconstruction of soft tissue defects after radical surgery for oral cancer.

Full Article: PDF

Scientific Object Identifier: http://s-o-i.org/1.1/TAS-04-120-30

DOI: https://dx.doi.org/10.15863/TAS.2023.04.120.30

Language: English

Citation: Amiraliyev, K. N., et al. (2023). Regional flaps in reconstruction of soft tissue defects after radical surgery for oral cancer. ISJ Theoretical & Applied Science, 04 (120), 161-165. Soi: http://s-o-i.org/1.1/TAS-04-120-30 Doi: https://dx.doi.org/10.15863/TAS.2023.04.120.30

Pages: 161-165

Published: 30.04.2023

Abstract: Background. The main contingent of patients with oral cancer turn to specialized clinics in the later stages. After radical resection in this category of patients, extensive defects occur that require primary reconstruction to restore form, function, and aesthetic effect. Objective. To present our experience in the reconstruction of oncological defects of the oral cavity using regional flaps. Materials and methods. The analysis of the collected data of patients who underwent radical resection followed by reconstruction with pedicled flaps for locally advanced oral cancer from 2015 to 2022 was carried out. Demographic data, primary tumor site, defect type, flap variant, and complication rates were analyzed. Results. Primary reconstruction of soft tissue defects after radical tumor resection was performed in 56 patients. The distribution of patients according to the prevalence of the primary tumor T3 - in 47, T4 - in 9 cases. The primary localization of the tumor in the oral cavity was the tongue (n=15), the floor of the mouth (n=12), the alveolar process of the mandible (n=11), the cheek (n=10), the retromolar region (n=5) and the alveolar process of the maxilla (n=3). The regional flaps used for reconstruction were submental flap (n=22), supraclavicular flap (n=10), platysma flap (n=8), sternocleidomastoid flap (n=7), nasolabial flap (n=6) and pectoralis major myocutaneous flap (n=3). We classified the types of soft tissue defects into mucosal defects (n=53) and full-thickness defects (n=3). The overall complication rate for flaps was 46.4%. Total necrosis of the flap was not observed, partial necrosis was detected in 4, marginal necrosis in 9, wound dehiscence in 13. Conclusion. Regional flaps are an effective method for reconstruction of soft tissue defects following oral cavity cancer surgery with acceptable functional and aesthetic results.

Key words: oral cancer, soft tissue defects, reconstruction, regional flaps.


 

 

 

 

 

 

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