Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction.
oropharyngeal cancer
oropharyngeal reconstruction
robotic reconstruction
submental flap
transoral robotic surgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
30
09
2020
accepted:
30
10
2020
pubmed:
20
11
2020
medline:
23
6
2021
entrez:
19
11
2020
Statut:
ppublish
Résumé
Transoral robotic surgery (TORS) is an effective approach for select salvage oropharyngeal resections. Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well-suited to this reconstruction. Two patients presented with recurrent oropharyngeal tumors after chemoradiation. Each tumor was resected using TORS, and the SAIF was utilized for reconstruction. Flap inset was completed using TORS in one case. Both patients experienced uneventful recovery free from bleeding events or fistula formation and experienced no partial flap loss or donor site complications. The SAIF is a simple reconstructive option for TORS defects that may be inset using robotic assistance and avoids the need for free tissue transfer.
Sections du résumé
BACKGROUND
Transoral robotic surgery (TORS) is an effective approach for select salvage oropharyngeal resections. Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well-suited to this reconstruction.
DESIGN/METHOD
Two patients presented with recurrent oropharyngeal tumors after chemoradiation. Each tumor was resected using TORS, and the SAIF was utilized for reconstruction. Flap inset was completed using TORS in one case.
RESULTS
Both patients experienced uneventful recovery free from bleeding events or fistula formation and experienced no partial flap loss or donor site complications.
CONCLUSIONS
The SAIF is a simple reconstructive option for TORS defects that may be inset using robotic assistance and avoids the need for free tissue transfer.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
E13-E19Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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