Reconstruction of through-and-through oral cavity defects with folded extended vertical lower trapezius island myocutaneous flap.

Abstract

Reconstruction of through-and-through defects of the head and neck is a challenge. In this clinical study we assessed the feasibility of the folded, extended, vertical, lower trapezius island myocutaneous flap (TIMF) for the reconstruction of 16 large through-and-through defects of the oral cavity, which were reconstructed after resection of oral cancer. The skin paddle was 5-7 cm wide and 11-20 cm long. The folded flap provides both inner and outer linings for through-and-through defects, and all the flaps survived. The appearance of the head and neck was acceptable, and oral function was satisfactory. The folded extended vertical lower TIMF is a large, simple, and reliable flap that is preferred for the reconstruction of large through-and-through defects after resection of oral carcinoma.

• Authors: Zhao-hui Yang, Da-ming Zhang, Wei-liang Chen, You-yuan Wang, Song Fan
• Journal: The British journal of oral & maxillofacial surgery (Br J Oral Maxillofac Surg) Vol. 51 Issue 8 Pg. 731-5 (Dec 2013) ISSN: 1532-1940 [Electronic] Scotland
• PMID: 24090763 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2013 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Topics

• Aged
• Carcinoma, Squamous Cell (surgery)
• Chemotherapy, Adjuvant
• Deglutition (physiology)
• Esthetics
• Feasibility Studies
• Female
• Follow-Up Studies
• Graft Survival
• Humans
• Male
• Middle Aged
• Mouth (physiology)
• Mouth Neoplasms (surgery)
• Myocutaneous Flap (blood supply, transplantation)
• Neoplasm Recurrence, Local (surgery)
• Neoplasm Staging
• Radiotherapy, Adjuvant
• Plastic Surgery Procedures (methods)
• Shoulder Joint (physiology)
• Speech (physiology)
• Transplant Donor Site (blood supply, surgery)
• Treatment Outcome