Reconstructive Surgery for Head and Neck Cancer Patients
Identifieur interne : 006123 ( Ncbi/Merge ); précédent : 006122; suivant : 006124Reconstructive Surgery for Head and Neck Cancer Patients
Auteurs : Matthew M. Hanasono [États-Unis]Source :
- Advances in Medicine [ 2356-6752 ] ; 2014.
Abstract
The field of head and neck surgery has gone through numerous changes in the past two decades. Microvascular free flap reconstructions largely replaced other techniques. More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance. The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.
Url:
DOI: 10.1155/2014/795483
PubMed: 26556426
PubMed Central: 4590972
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reconstructive Surgery for Head and Neck Cancer Patients</title><author><name sortKey="Hanasono, Matthew M" sort="Hanasono, Matthew M" uniqKey="Hanasono M" first="Matthew M." last="Hanasono">Matthew M. Hanasono</name><affiliation wicri:level="2"><nlm:aff id="I1">The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26556426</idno><idno type="pmc">4590972</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590972</idno><idno type="RBID">PMC:4590972</idno><idno type="doi">10.1155/2014/795483</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002810</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002810</idno><idno type="wicri:Area/Pmc/Curation">002810</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002810</idno><idno type="wicri:Area/Pmc/Checkpoint">001256</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001256</idno><idno type="wicri:Area/Ncbi/Merge">006123</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Reconstructive Surgery for Head and Neck Cancer Patients</title><author><name sortKey="Hanasono, Matthew M" sort="Hanasono, Matthew M" uniqKey="Hanasono M" first="Matthew M." last="Hanasono">Matthew M. Hanasono</name><affiliation wicri:level="2"><nlm:aff id="I1">The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author></analytic><series><title level="j">Advances in Medicine</title><idno type="ISSN">2356-6752</idno><idno type="eISSN">2314-758X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The field of head and neck surgery has gone through numerous changes in the past two decades. Microvascular free flap reconstructions largely replaced other techniques. More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance. The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hanasono, M M" uniqKey="Hanasono M">M. M. Hanasono</name></author><author><name sortKey="Friel, M T" uniqKey="Friel M">M. T. Friel</name></author><author><name sortKey="Klem, C" uniqKey="Klem C">C. Klem</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hidalgo, D A" uniqKey="Hidalgo D">D. A. Hidalgo</name></author><author><name sortKey="Disa, J J" uniqKey="Disa J">J. J. Disa</name></author><author><name sortKey="Cordeiro, P G" uniqKey="Cordeiro P">P. G. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Adv Med</journal-id><journal-id journal-id-type="iso-abbrev">Adv Med</journal-id><journal-id journal-id-type="publisher-id">AMED</journal-id><journal-title-group><journal-title>Advances in Medicine</journal-title></journal-title-group><issn pub-type="ppub">2356-6752</issn><issn pub-type="epub">2314-758X</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26556426</article-id><article-id pub-id-type="pmc">4590972</article-id><article-id pub-id-type="doi">10.1155/2014/795483</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Reconstructive Surgery for Head and Neck Cancer Patients</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-5534-5426</contrib-id><name><surname>Hanasono</surname><given-names>Matthew M.</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="I1">The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030, USA</aff><author-notes><corresp id="cor1">*Matthew M. Hanasono: <email>mhanasono@mdanderson.org</email></corresp><fn fn-type="other"><p>Academic Editor: Andrea Figus</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>9</day><month>11</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>795483</elocation-id><history><date date-type="received"><day>5</day><month>6</month><year>2014</year></date><date date-type="accepted"><day>29</day><month>9</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Matthew M. Hanasono.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The field of head and neck surgery has gone through numerous changes in the past two decades. Microvascular free flap reconstructions largely replaced other techniques. More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance. The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Posterior palatomaxillary defect following tumor removal (a). An anterolateral thigh free flap is harvested, measuring approximately 5 × 5 cm (b). Flap inset (c). Postoperative appearance (d).</p></caption><graphic xlink:href="AMED2014-795483.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Anterior bilateral palatomaxillary defect following tumor removal (a). A fibula osteocutaneous free flap is osteotomized then rigidly fixated to resemble the Greek letter “omega” in the transverse plane (b). Flap inset (c). Postoperative appearance (d). The skin paddle is used to close the palatal defect, while the bone restores mid-facial height, width, and projection. Osseointegrated implants have been placed.</p></caption><graphic xlink:href="AMED2014-795483.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Orbitomaxillectomy defect following tumor removal (a). An anterolateral thigh free flap is used to close the defect and isolate the orbital cavity from the sinonasal cavities (b). A soft nasal trumpet is used to stent the nasal cavity open. Postoperative appearance (c).</p></caption><graphic xlink:href="AMED2014-795483.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Composite anterior mandibular resection for a large invasive floor of mouth cancer (a). Skin markings for a fibula osteocutaneous free flap (b). Approximately 5 to 7 cm of proximal and distal bone are left<italic> in situ</italic> (c). Osteotomies for shaping the fibula can be made prior to or after pedicle division (d). Fibula osteocutaneous free flap after rigid fixation with a titanium reconstruction plate (e). Flap inset (f).</p></caption><graphic xlink:href="AMED2014-795483.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Virtual plan for mandibular reconstruction using computer-assisted design software (figure courtesy of Medical Modeling, Incorporated, Golden, CO) (a). Comparison of mandibular specimen to rapid prototype model (b). Computer-generated slotted cutting guide used to help make osteotomies in a fibula osteocutaneous free flap (c). Flap inset (d).</p></caption><graphic xlink:href="AMED2014-795483.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Posterior mandibular defect following tumor resection (a). Anterolateral thigh myocutaneous free flap inset (b). Skin paddle to close oral defect (c). External appearance (d).</p></caption><graphic xlink:href="AMED2014-795483.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>A fibula osteocutaneous free flap for mandibular and intraoral reconstruction and an anterolateral thigh free flap for external neck skin reconstruction (a). Completed reconstruction (b).</p></caption><graphic xlink:href="AMED2014-795483.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Design of a facial artery musculomucosal pedicled flap for a lateral floor of mouth and mandibular gingival defect (a). The flap is elevated and includes a portion of the buccinator muscle and the facial artery, which is deep to the muscle (b). Postoperative appearance (c).</p></caption><graphic xlink:href="AMED2014-795483.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Radial forearm free flap harvest for a right hemiglossectomy reconstruction (a). Flap inset (b). Postoperative appearance (c).</p></caption><graphic xlink:href="AMED2014-795483.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Radial forearm free flap harvest for a right oropharyngeal defect (a). To minimize donor site morbidity, a suprafascial harvest technique is used (b). Flap inset (c). Postoperative appearance demonstrating excellent mouth opening (d).</p></caption><graphic xlink:href="AMED2014-795483.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>A partial circumference pharyngeal defect following a laryngopharyngectomy for recurrent laryngeal cancer (a). A radial forearm free flap was harvested for reconstruction (b). Flap inset over a nasogastric feeding tube (c).</p></caption><graphic xlink:href="AMED2014-795483.011"></graphic></fig><fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label><caption><p>A total circumference pharyngeal defect following a laryngopharyngectomy for recurrent laryngeal cancer (a). A pectoralis major myocutaneous pedicled flap is dissected for neck skin coverage. The anterolateral thigh flap was dissected as a perforator flap and subsequently tubed (b). Inset of flaps (c). Postoperative appearance (d).</p></caption><graphic xlink:href="AMED2014-795483.012"></graphic></fig></floats-group></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Hanasono, Matthew M" sort="Hanasono, Matthew M" uniqKey="Hanasono M" first="Matthew M." last="Hanasono">Matthew M. Hanasono</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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