One stage reconstruction of the floor of the mouth with a subcutaneous pedicled nasolabial flap.
Identifieur interne : 000466 ( PubMed/Corpus ); précédent : 000465; suivant : 000467One stage reconstruction of the floor of the mouth with a subcutaneous pedicled nasolabial flap.
Auteurs : Hamdy H. El-Marakby ; Fouad A. Fouad ; Ahmed H. AliSource :
- Journal of the Egyptian National Cancer Institute [ 1110-0362 ] ; 2012.
English descriptors
- KwdEn :
- Aged, Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (surgery), Cheek (surgery), Female, Humans, Lip (surgery), Male, Middle Aged, Mouth (pathology), Mouth (surgery), Mouth Neoplasms (pathology), Mouth Neoplasms (surgery), Nasolabial Fold, Nose (surgery), Oral Surgical Procedures (methods), Skin Transplantation, Surgery, Plastic (methods), Surgical Flaps, Tongue (surgery).
- MESH :
- methods : Oral Surgical Procedures, Surgery, Plastic.
- pathology : Carcinoma, Squamous Cell, Mouth, Mouth Neoplasms.
- surgery : Carcinoma, Squamous Cell, Cheek, Lip, Mouth, Mouth Neoplasms, Nose, Tongue.
- Aged, Female, Humans, Male, Middle Aged, Nasolabial Fold, Skin Transplantation, Surgical Flaps.
Abstract
Nasolabial flaps have been recognised as versatile flaps for a variety of defects in the face, nose, lip and the oral cavity. Random pattern inferiorly based nasolabial flaps (NLF) have been utilised for covering small defects on the anterior floor of the mouth, but usually require a second stage procedure to divide the flap base. A subcutaneous pedicled inferiorly based nasolabial flap can provide a one stage repair of moderate sized defects of the floor of the mouth after de epithelialisation of the base of the flap.
DOI: 10.1016/j.jnci.2012.02.002
PubMed: 23582598
Links to Exploration step
pubmed:23582598Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">One stage reconstruction of the floor of the mouth with a subcutaneous pedicled nasolabial flap.</title><author><name sortKey="El Marakby, Hamdy H" sort="El Marakby, Hamdy H" uniqKey="El Marakby H" first="Hamdy H" last="El-Marakby">Hamdy H. El-Marakby</name><affiliation><nlm:affiliation>Department of Surgery, NCI, Cairo, Egypt. Marakby45@hotmail.co.uk</nlm:affiliation></affiliation></author><author><name sortKey="Fouad, Fouad A" sort="Fouad, Fouad A" uniqKey="Fouad F" first="Fouad A" last="Fouad">Fouad A. Fouad</name></author><author><name sortKey="Ali, Ahmed H" sort="Ali, Ahmed H" uniqKey="Ali A" first="Ahmed H" last="Ali">Ahmed H. Ali</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23582598</idno><idno type="pmid">23582598</idno><idno type="doi">10.1016/j.jnci.2012.02.002</idno><idno type="wicri:Area/PubMed/Corpus">000466</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000466</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">One stage reconstruction of the floor of the mouth with a subcutaneous pedicled nasolabial flap.</title><author><name sortKey="El Marakby, Hamdy H" sort="El Marakby, Hamdy H" uniqKey="El Marakby H" first="Hamdy H" last="El-Marakby">Hamdy H. El-Marakby</name><affiliation><nlm:affiliation>Department of Surgery, NCI, Cairo, Egypt. Marakby45@hotmail.co.uk</nlm:affiliation></affiliation></author><author><name sortKey="Fouad, Fouad A" sort="Fouad, Fouad A" uniqKey="Fouad F" first="Fouad A" last="Fouad">Fouad A. Fouad</name></author><author><name sortKey="Ali, Ahmed H" sort="Ali, Ahmed H" uniqKey="Ali A" first="Ahmed H" last="Ali">Ahmed H. Ali</name></author></analytic><series><title level="j">Journal of the Egyptian National Cancer Institute</title><idno type="ISSN">1110-0362</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Carcinoma, Squamous Cell (pathology)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Cheek (surgery)</term><term>Female</term><term>Humans</term><term>Lip (surgery)</term><term>Male</term><term>Middle Aged</term><term>Mouth (pathology)</term><term>Mouth (surgery)</term><term>Mouth Neoplasms (pathology)</term><term>Mouth Neoplasms (surgery)</term><term>Nasolabial Fold</term><term>Nose (surgery)</term><term>Oral Surgical Procedures (methods)</term><term>Skin Transplantation</term><term>Surgery, Plastic (methods)</term><term>Surgical Flaps</term><term>Tongue (surgery)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Oral Surgical Procedures</term><term>Surgery, Plastic</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Mouth</term><term>Mouth Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Cheek</term><term>Lip</term><term>Mouth</term><term>Mouth Neoplasms</term><term>Nose</term><term>Tongue</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Nasolabial Fold</term><term>Skin Transplantation</term><term>Surgical Flaps</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Nasolabial flaps have been recognised as versatile flaps for a variety of defects in the face, nose, lip and the oral cavity. Random pattern inferiorly based nasolabial flaps (NLF) have been utilised for covering small defects on the anterior floor of the mouth, but usually require a second stage procedure to divide the flap base. A subcutaneous pedicled inferiorly based nasolabial flap can provide a one stage repair of moderate sized defects of the floor of the mouth after de epithelialisation of the base of the flap.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23582598</PMID><DateCompleted><Year>2013</Year><Month>11</Month><Day>04</Day></DateCompleted><DateRevised><Year>2013</Year><Month>04</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1110-0362</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>2</Issue><PubDate><Year>2012</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of the Egyptian National Cancer Institute</Title><ISOAbbreviation>J Egypt Natl Canc Inst</ISOAbbreviation></Journal><ArticleTitle>One stage reconstruction of the floor of the mouth with a subcutaneous pedicled nasolabial flap.</ArticleTitle><Pagination><MedlinePgn>71-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jnci.2012.02.002</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Nasolabial flaps have been recognised as versatile flaps for a variety of defects in the face, nose, lip and the oral cavity. Random pattern inferiorly based nasolabial flaps (NLF) have been utilised for covering small defects on the anterior floor of the mouth, but usually require a second stage procedure to divide the flap base. A subcutaneous pedicled inferiorly based nasolabial flap can provide a one stage repair of moderate sized defects of the floor of the mouth after de epithelialisation of the base of the flap.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To evaluate the feasibility of a single stage reconstruction of intermediate sized defects in the oral cavity with an inferiorly based pedicled NLF. The study includes the indications of use of the flap, flap design, technique, and the complications rate. The incidence of secondary procedures and the final functional and the aesthetic results will also be evaluated.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A group of 20 patients presented with (T1-2) squamous cell carcinoma of the oral cavity have been treated at the Department of Surgery, National Cancer Institute, Cairo; in the period between January 2008 and September 2010. The pathology was confirmed with an incision biopsy and all metastatic work were carried out confirming that all patients were free from distant metastasis at presentation. Preoperative assessment also included assessment of the stage of the disease, the flap design and patient fitness for general anaesthesia. All patients underwent surgical excision combined with reconstruction of the defect with a subcutaneous inferiorly based pedicled NLF. The proximal part of the flap was routinely de epithelialised before it has been tunnelled through the cheek so a one stage procedure could only be required.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean age of the patients was 62.3±6years, range (52-69years). All patients were diagnosed with squamous cell carcinoma. The anterior floor of the mouth constituted 40% of the defects, the lateral floor of the mouth 20% and the inner surface of the cheek 40%. There was no reported major complication; and only one patient suffered a reactionary haemorrhage that required re-exploration to secure the bleeder. A single procedure was adequate in most patients (80%), only 20% of patients required revision of the scar at the donor site or release of the tongue. The overall aesthetic results were either very satisfactory or satisfactory in the majority of patients (90%). Two patients were not satisfied with the final aesthetic results, one suffered from ectropion and the other had a donor site wound healing problem. The functional results (deglutition, speech) were satisfactory in most patients (70%), all were edentulous.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">An inferiorly based pedicled NLF is a reliable flap for the reconstruction of small and medium sized defects in the oral cavity. The flap can be best utilised for old edentulous and high risk patients where it can be used as a single stage procedure which is particularly useful in those types of patients. The flap can be safely combined with neck dissection even when the facial artery was ligated.</AbstractText><CopyrightInformation>Copyright © 2012 National Cancer Institute, Cairo University. Published by Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>El-Marakby</LastName><ForeName>Hamdy H</ForeName><Initials>HH</Initials><AffiliationInfo><Affiliation>Department of Surgery, NCI, Cairo, Egypt. Marakby45@hotmail.co.uk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fouad</LastName><ForeName>Fouad A</ForeName><Initials>FA</Initials></Author><Author ValidYN="Y"><LastName>Ali</LastName><ForeName>Ahmed H</ForeName><Initials>AH</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>04</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Egypt</Country><MedlineTA>J Egypt Natl Canc Inst</MedlineTA><NlmUniqueID>9424566</NlmUniqueID><ISSNLinking>1110-0362</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002294" MajorTopicYN="N">Carcinoma, Squamous Cell</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002610" MajorTopicYN="N">Cheek</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008046" MajorTopicYN="N">Lip</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009055" MajorTopicYN="N">Mouth</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009062" MajorTopicYN="N">Mouth Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D060052" MajorTopicYN="Y">Nasolabial Fold</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009666" MajorTopicYN="N">Nose</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019647" MajorTopicYN="N">Oral Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016038" MajorTopicYN="N">Skin Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013518" MajorTopicYN="N">Surgery, Plastic</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="Y">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014059" MajorTopicYN="N">Tongue</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>11</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>02</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>02</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>11</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23582598</ArticleId><ArticleId IdType="pii">S1110-0362(12)00004-0</ArticleId><ArticleId IdType="doi">10.1016/j.jnci.2012.02.002</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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