EdenteV2, PascalFrancis, Corpus, bibRecord, 000382

Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap

Identifieur interne : 000382 ( PascalFrancis/Corpus ); précédent : 000381; suivant : 000383

Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap

Auteurs : P. Salvatori ; E. Motto ; S. Paradisi ; A. Zani ; S. Podrecca ; R. Molinari

Source :

Acta otorhinolaryngologica italica [ 0392-100X ] ; 2007.

RBID : Pascal:08-0163769

Descripteurs français

Pascal (Inist)
- Cancer de la tête et du cou, Reconstruction anatomique, Chirurgie, Traitement, Titane, Plaque, Muscle grand pectoral, Lambeau musculocutané, Mandibule, Lambeau pédiculé, ORL.

English descriptors

KwdEn :
- Anatomical reconstruction, ENT, Head and neck cancer, Mandible, Musculocutaneous flap, Pectoralis major muscle, Pedicle flap, Plate, Surgery, Titanium, Treatment.

Abstract

To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died peri-operatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0392-100X`
A03		`1`		`@0 Acta otorhinolaryngol. ital.`
A05				`@2 27`
A06				`@2 5`
A08	`01`	`1`	`ENG`	`@1 Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap`
A11	`01`	`1`		`@1 SALVATORI (P.)`
A11	`02`	`1`		`@1 MOTTO (E.)`
A11	`03`	`1`		`@1 PARADISI (S.)`
A11	`04`	`1`		`@1 ZANI (A.)`
A11	`05`	`1`		`@1 PODRECCA (S.)`
A11	`06`	`1`		`@1 MOLINARI (R.)`
A14	`01`			`@1 Department of Head and Neck Surgery, "Galeazzi" Orthopedic Institute @2 Milan @3 ITA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.`
A20				`@1 227-232`
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A24	`01`			`@0 ita`
A43	`01`			`@1 INIST @2 18829 @5 354000175148040010`
A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
A45				`@0 26 ref.`
A47	`01`	`1`		`@0 08-0163769`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Acta otorhinolaryngologica italica`
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C01	`01`		`ENG`	@0 To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died peri-operatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.
C02	`01`	`X`		`@0 002B10A01`
C03	`01`	`X`	`FRE`	`@0 Cancer de la tête et du cou @2 NM @5 01`
C03	`01`	`X`	`ENG`	`@0 Head and neck cancer @2 NM @5 01`
C03	`01`	`X`	`SPA`	`@0 Cáncer de cabeza y cuello @2 NM @5 01`
C03	`02`	`X`	`FRE`	`@0 Reconstruction anatomique @5 04`
C03	`02`	`X`	`ENG`	`@0 Anatomical reconstruction @5 04`
C03	`02`	`X`	`SPA`	`@0 Reconstrucción anatómica @5 04`
C03	`03`	`X`	`FRE`	`@0 Chirurgie @5 05`
C03	`03`	`X`	`ENG`	`@0 Surgery @5 05`
C03	`03`	`X`	`SPA`	`@0 Cirugía @5 05`
C03	`04`	`X`	`FRE`	`@0 Traitement @5 06`
C03	`04`	`X`	`ENG`	`@0 Treatment @5 06`
C03	`04`	`X`	`SPA`	`@0 Tratamiento @5 06`
C03	`05`	`X`	`FRE`	`@0 Titane @2 NC @5 07`
C03	`05`	`X`	`ENG`	`@0 Titanium @2 NC @5 07`
C03	`05`	`X`	`SPA`	`@0 Titanio @2 NC @5 07`
C03	`06`	`X`	`FRE`	`@0 Plaque @5 08`
C03	`06`	`X`	`ENG`	`@0 Plate @5 08`
C03	`06`	`X`	`SPA`	`@0 Placa @5 08`
C03	`07`	`X`	`FRE`	`@0 Muscle grand pectoral @5 09`
C03	`07`	`X`	`ENG`	`@0 Pectoralis major muscle @5 09`
C03	`07`	`X`	`SPA`	`@0 Músculo pectoral mayor @5 09`
C03	`08`	`X`	`FRE`	`@0 Lambeau musculocutané @5 13`
C03	`08`	`X`	`ENG`	`@0 Musculocutaneous flap @5 13`
C03	`08`	`X`	`SPA`	`@0 Colgajo musculocutáneo @5 13`
C03	`09`	`X`	`FRE`	`@0 Mandibule @5 14`
C03	`09`	`X`	`ENG`	`@0 Mandible @5 14`
C03	`09`	`X`	`SPA`	`@0 Mandíbula @5 14`
C03	`10`	`X`	`FRE`	`@0 Lambeau pédiculé @5 15`
C03	`10`	`X`	`ENG`	`@0 Pedicle flap @5 15`
C03	`10`	`X`	`SPA`	`@0 Colgajo pediculado @5 15`
C03	`11`	`X`	`FRE`	`@0 ORL @5 16`
C03	`11`	`X`	`ENG`	`@0 ENT @5 16`
C03	`11`	`X`	`SPA`	`@0 ORL @5 16`
C07	`01`	`X`	`FRE`	`@0 Pathologie ORL @5 37`
C07	`01`	`X`	`ENG`	`@0 ENT disease @5 37`
C07	`01`	`X`	`SPA`	`@0 ORL patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Tumeur maligne @2 NM @5 38`
C07	`02`	`X`	`ENG`	`@0 Malignant tumor @2 NM @5 38`
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C07	`03`	`X`	`FRE`	`@0 Cancer @2 NM`
C07	`03`	`X`	`ENG`	`@0 Cancer @2 NM`
C07	`03`	`X`	`SPA`	`@0 Cáncer @2 NM`
N21				`@1 098`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 08-0163769 INIST
ET :	Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap
AU :	SALVATORI (P.); MOTTO (E.); PARADISI (S.); ZANI (A.); PODRECCA (S.); MOLINARI (R.)
AF :	Department of Head and Neck Surgery, "Galeazzi" Orthopedic Institute/Milan/Italie (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)
DT :	Publication en série; Niveau analytique
SO :	Acta otorhinolaryngologica italica; ISSN 0392-100X; Italie; Da. 2007; Vol. 27; No. 5; Pp. 227-232; Abs. italien; Bibl. 26 ref.
LA :	Anglais
EA :	To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died peri-operatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.
CC :	002B10A01
FD :	Cancer de la tête et du cou; Reconstruction anatomique; Chirurgie; Traitement; Titane; Plaque; Muscle grand pectoral; Lambeau musculocutané; Mandibule; Lambeau pédiculé; ORL
FG :	Pathologie ORL; Tumeur maligne; Cancer
ED :	Head and neck cancer; Anatomical reconstruction; Surgery; Treatment; Titanium; Plate; Pectoralis major muscle; Musculocutaneous flap; Mandible; Pedicle flap; ENT
EG :	ENT disease; Malignant tumor; Cancer
SD :	Cáncer de cabeza y cuello; Reconstrucción anatómica; Cirugía; Tratamiento; Titanio; Placa; Músculo pectoral mayor; Colgajo musculocutáneo; Mandíbula; Colgajo pediculado; ORL
LO :	INIST-18829.354000175148040010
ID :	08-0163769

Links to Exploration step

Pascal:08-0163769

Le document en format XML

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<front><div type="abstract" xml:lang="en">To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died peri-operatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.</div>
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<fC01 i1="01" l="ENG"><s0>To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died peri-operatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B10A01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Cancer de la tête et du cou</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
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<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Cáncer de cabeza y cuello</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
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<s5>04</s5>
</fC03>
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<s5>04</s5>
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<s5>04</s5>
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<s5>05</s5>
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<s2>NC</s2>
<s5>07</s5>
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<s2>NC</s2>
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<s2>NC</s2>
<s5>07</s5>
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<s5>08</s5>
</fC03>
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<s5>08</s5>
</fC03>
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<s5>08</s5>
</fC03>
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<s5>09</s5>
</fC03>
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<s5>09</s5>
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<s5>09</s5>
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<s5>13</s5>
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<s5>13</s5>
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<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Mandibule</s0>
<s5>14</s5>
</fC03>
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<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Mandíbula</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Lambeau pédiculé</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Pedicle flap</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Colgajo pediculado</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>ORL</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>ENT</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>ORL</s0>
<s5>16</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie ORL</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>ENT disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>ORL patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fN21><s1>098</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
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<server><NO>PASCAL 08-0163769 INIST</NO>
<ET>Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap</ET>
<AU>SALVATORI (P.); MOTTO (E.); PARADISI (S.); ZANI (A.); PODRECCA (S.); MOLINARI (R.)</AU>
<AF>Department of Head and Neck Surgery, "Galeazzi" Orthopedic Institute/Milan/Italie (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Acta otorhinolaryngologica italica; ISSN 0392-100X; Italie; Da. 2007; Vol. 27; No. 5; Pp. 227-232; Abs. italien; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died peri-operatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.</EA>
<CC>002B10A01</CC>
<FD>Cancer de la tête et du cou; Reconstruction anatomique; Chirurgie; Traitement; Titane; Plaque; Muscle grand pectoral; Lambeau musculocutané; Mandibule; Lambeau pédiculé; ORL</FD>
<FG>Pathologie ORL; Tumeur maligne; Cancer</FG>
<ED>Head and neck cancer; Anatomical reconstruction; Surgery; Treatment; Titanium; Plate; Pectoralis major muscle; Musculocutaneous flap; Mandible; Pedicle flap; ENT</ED>
<EG>ENT disease; Malignant tumor; Cancer</EG>
<SD>Cáncer de cabeza y cuello; Reconstrucción anatómica; Cirugía; Tratamiento; Titanio; Placa; Músculo pectoral mayor; Colgajo musculocutáneo; Mandíbula; Colgajo pediculado; ORL</SD>
<LO>INIST-18829.354000175148040010</LO>
<ID>08-0163769</ID>
</server>
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Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap

Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap

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