Oral cavity reconstruction with the masseter flap
Identifieur interne : 000560 ( Pmc/Checkpoint ); précédent : 000559; suivant : 000561Oral cavity reconstruction with the masseter flap
Auteurs : R. Mahieu [Italie, Pays-Bas] ; S. Russo [Italie] ; T. Gualtieri [Italie] ; G. Colletti [Italie] ; A. Deganello [Italie]Source :
- Acta Otorhinolaryngologica Italica [ 0392-100X ] ; 2016.
Abstract
The purpose of this report is to highlight how an unusual, outdated, unpopular and overlooked reconstructive method such as the masseter flap can be a reliable, straightforward and effective solution for oral reconstruction in selected cases. We report the transposition of the masseter crossover flap in two previously pre-treated patients presenting a second primary oral squamous cell carcinoma; excellent functional results with satisfactory cosmetic appearance were obtained in both cases. In the literature, only 60 cases of oral cavity and oropharyngeal reconstructions using the masseter flap have been reported. The possible clinical utility of this flap, even in modern head and neck reconstructive surgery, is presented and discussed. We believe that the masseter flap should enter in the armamentarium of every head and neck surgeon and be kept in mind as a possible solution since it provides an elegant and extremely simple procedure in suboptimal cases for microvascular reconstruction.
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DOI: 10.14639/0392-100X-890
PubMed: 27196079
PubMed Central: 4907161
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Mahieu</name><affiliation wicri:level="1"><nlm:aff id="A1"> Department of Surgery and Translational Medicine, University of Florence, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Surgery and Translational Medicine, University of Florence</wicri:regionArea><wicri:noRegion>University of Florence</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A2"> University Medical Center, Groningen, The Netherlands;</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea> University Medical Center, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author><author><name sortKey="Russo, S" sort="Russo, S" uniqKey="Russo S" first="S." last="Russo">S. Russo</name><affiliation wicri:level="1"><nlm:aff id="A3"> National Cancer Institute Giovanni Paolo II, Bari, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> National Cancer Institute Giovanni Paolo II, Bari</wicri:regionArea><wicri:noRegion>Bari</wicri:noRegion></affiliation></author><author><name sortKey="Gualtieri, T" sort="Gualtieri, T" uniqKey="Gualtieri T" first="T." last="Gualtieri">T. Gualtieri</name><affiliation wicri:level="1"><nlm:aff id="A1"> Department of Surgery and Translational Medicine, University of Florence, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Surgery and Translational Medicine, University of Florence</wicri:regionArea><wicri:noRegion>University of Florence</wicri:noRegion></affiliation></author><author><name sortKey="Colletti, G" sort="Colletti, G" uniqKey="Colletti G" first="G." last="Colletti">G. Colletti</name><affiliation wicri:level="1"><nlm:aff id="A4"> Department of Maxillo-facial Surgery, University of Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Maxillo-facial Surgery, University of Milan</wicri:regionArea><wicri:noRegion>University of Milan</wicri:noRegion></affiliation></author><author><name sortKey="Deganello, A" sort="Deganello, A" uniqKey="Deganello A" first="A." last="Deganello">A. Deganello</name><affiliation wicri:level="1"><nlm:aff id="A1"> Department of Surgery and Translational Medicine, University of Florence, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Surgery and Translational Medicine, University of Florence</wicri:regionArea><wicri:noRegion>University of Florence</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27196079</idno><idno type="pmc">4907161</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4907161</idno><idno type="RBID">PMC:4907161</idno><idno type="doi">10.14639/0392-100X-890</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000605</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000605</idno><idno type="wicri:Area/Pmc/Curation">000605</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000605</idno><idno type="wicri:Area/Pmc/Checkpoint">000560</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000560</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral cavity reconstruction with the masseter flap</title><author><name sortKey="Mahieu, R" sort="Mahieu, R" uniqKey="Mahieu R" first="R." last="Mahieu">R. Mahieu</name><affiliation wicri:level="1"><nlm:aff id="A1"> Department of Surgery and Translational Medicine, University of Florence, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Surgery and Translational Medicine, University of Florence</wicri:regionArea><wicri:noRegion>University of Florence</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A2"> University Medical Center, Groningen, The Netherlands;</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea> University Medical Center, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author><author><name sortKey="Russo, S" sort="Russo, S" uniqKey="Russo S" first="S." last="Russo">S. Russo</name><affiliation wicri:level="1"><nlm:aff id="A3"> National Cancer Institute Giovanni Paolo II, Bari, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> National Cancer Institute Giovanni Paolo II, Bari</wicri:regionArea><wicri:noRegion>Bari</wicri:noRegion></affiliation></author><author><name sortKey="Gualtieri, T" sort="Gualtieri, T" uniqKey="Gualtieri T" first="T." last="Gualtieri">T. Gualtieri</name><affiliation wicri:level="1"><nlm:aff id="A1"> Department of Surgery and Translational Medicine, University of Florence, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Surgery and Translational Medicine, University of Florence</wicri:regionArea><wicri:noRegion>University of Florence</wicri:noRegion></affiliation></author><author><name sortKey="Colletti, G" sort="Colletti, G" uniqKey="Colletti G" first="G." last="Colletti">G. Colletti</name><affiliation wicri:level="1"><nlm:aff id="A4"> Department of Maxillo-facial Surgery, University of Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Maxillo-facial Surgery, University of Milan</wicri:regionArea><wicri:noRegion>University of Milan</wicri:noRegion></affiliation></author><author><name sortKey="Deganello, A" sort="Deganello, A" uniqKey="Deganello A" first="A." last="Deganello">A. Deganello</name><affiliation wicri:level="1"><nlm:aff id="A1"> Department of Surgery and Translational Medicine, University of Florence, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Surgery and Translational Medicine, University of Florence</wicri:regionArea><wicri:noRegion>University of Florence</wicri:noRegion></affiliation></author></analytic><series><title level="j">Acta Otorhinolaryngologica Italica</title><idno type="ISSN">0392-100X</idno><idno type="eISSN">1827-675X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><p>The purpose of this report is to highlight how an unusual, outdated, unpopular and overlooked reconstructive method such as the masseter flap can be a reliable, straightforward and effective solution for oral reconstruction in selected cases. We report the transposition of the masseter crossover flap in two previously pre-treated patients presenting a second primary oral squamous cell carcinoma; excellent functional results with satisfactory cosmetic appearance were obtained in both cases. In the literature, only 60 cases of oral cavity and oropharyngeal reconstructions using the masseter flap have been reported. The possible clinical utility of this flap, even in modern head and neck reconstructive surgery, is presented and discussed. We believe that the masseter flap should enter in the armamentarium of every head and neck surgeon and be kept in mind as a possible solution since it provides an elegant and extremely simple procedure in suboptimal cases for microvascular reconstruction.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tarsitano, A" uniqKey="Tarsitano A">A Tarsitano</name></author><author><name sortKey="Ciocca, L" uniqKey="Ciocca L">L Ciocca</name></author><author><name sortKey="Cipriani, R" uniqKey="Cipriani R">R Cipriani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berrone, M" uniqKey="Berrone M">M Berrone</name></author><author><name sortKey="Crosetti, E" uniqKey="Crosetti E">E Crosetti</name></author><author><name sortKey="Succo, G" uniqKey="Succo G">G Succo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pellini, R" uniqKey="Pellini R">R Pellini</name></author><author><name sortKey="Pichi, B" uniqKey="Pichi B">B Pichi</name></author><author><name sortKey="Marchesi, P" uniqKey="Marchesi P">P Marchesi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Manciocco, V" uniqKey="Manciocco V">V Manciocco</name></author><author><name sortKey="Dolivet, G" uniqKey="Dolivet G">G Dolivet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Gitti, G" uniqKey="Gitti G">G Gitti</name></author><author><name sortKey="Parrinello, G" uniqKey="Parrinello G">G Parrinello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Gitti, G" uniqKey="Gitti G">G Gitti</name></author><author><name sortKey="Parrinello, G" uniqKey="Parrinello G">G Parrinello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Leemans, Cr" uniqKey="Leemans C">CR Leemans</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Gitti, G" uniqKey="Gitti G">G Gitti</name></author><author><name sortKey="Struijs, B" uniqKey="Struijs B">B Struijs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Gallo, O" uniqKey="Gallo O">O Gallo</name></author><author><name sortKey="Cesare, Jm" uniqKey="Cesare J">JM Cesare</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Giordano, L" uniqKey="Giordano L">L Giordano</name></author><author><name sortKey="Bondi, S" uniqKey="Bondi S">S Bondi</name></author><author><name sortKey="Toma, S" uniqKey="Toma S">S Toma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leite, Ak" uniqKey="Leite A">AK Leite</name></author><author><name sortKey="Matos, Ll" uniqKey="Matos L">LL Matos</name></author><author><name sortKey="Belli, M" uniqKey="Belli M">M Belli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bussu, F" uniqKey="Bussu F">F Bussu</name></author><author><name sortKey="Gallus, R" uniqKey="Gallus R">R Gallus</name></author><author><name sortKey="Navach, V" uniqKey="Navach V">V Navach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Franchi, A" uniqKey="Franchi A">A Franchi</name></author><author><name sortKey="Sardi, I" uniqKey="Sardi I">I Sardi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deganello, A" uniqKey="Deganello A">A Deganello</name></author><author><name sortKey="Gitti, G" uniqKey="Gitti G">G Gitti</name></author><author><name sortKey="Mannelli, G" uniqKey="Mannelli G">G Mannelli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Conley, J" uniqKey="Conley J">J Conley</name></author><author><name sortKey="Gullane, Pj" uniqKey="Gullane P">PJ Gullane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tiwari, Rm" uniqKey="Tiwari R">RM Tiwari</name></author><author><name sortKey="Snow, Gb" uniqKey="Snow G">GB Snow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langdon, Jd" uniqKey="Langdon J">JD Langdon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Antoniades, K" uniqKey="Antoniades K">K Antoniades</name></author><author><name sortKey="Lasaridis, N" uniqKey="Lasaridis N">N Lasaridis</name></author><author><name sortKey="Vahtsevanos, K" uniqKey="Vahtsevanos K">K Vahtsevanos</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Acta Otorhinolaryngol Ital</journal-id><journal-id journal-id-type="iso-abbrev">Acta Otorhinolaryngol Ital</journal-id><journal-id journal-id-type="publisher-id">Pacini</journal-id><journal-title-group><journal-title>Acta Otorhinolaryngologica Italica</journal-title></journal-title-group><issn pub-type="ppub">0392-100X</issn><issn pub-type="epub">1827-675X</issn><publisher><publisher-name>Pacini Editore SRL</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27196079</article-id><article-id pub-id-type="pmc">4907161</article-id><article-id pub-id-type="publisher-id">Pacini</article-id><article-id pub-id-type="doi">10.14639/0392-100X-890</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Techniques and Technology</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Oral cavity reconstruction with the masseter flap</article-title><trans-title-group xml:lang="it"><trans-title>Ricostruzione del cavo orale con lembo massetere</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mahieu</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="A1"><sup>1</sup></xref><xref ref-type="aff" rid="A2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Russo</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="A3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gualtieri</surname><given-names>T.</given-names></name><xref ref-type="aff" rid="A1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Colletti</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="A4"><sup>4</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Deganello</surname><given-names>A.</given-names></name><xref ref-type="corresp" rid="COR1"></xref><xref ref-type="aff" rid="A1"><sup>1</sup></xref></contrib></contrib-group><aff id="A1"><label>1</label> Department of Surgery and Translational Medicine, University of Florence, Italy;</aff><aff id="A2"><label>2</label> University Medical Center, Groningen, The Netherlands;</aff><aff id="A3"><label>3</label> National Cancer Institute Giovanni Paolo II, Bari, Italy;</aff><aff id="A4"><label>4</label> Department of Maxillo-facial Surgery, University of Milan, Italy</aff><author-notes><corresp id="COR1">Address for correspondence: Alberto Deganello, Department of Surgery and Translational Medicine, Azienda Ospedaliero-Universitaria Careggi, largo Brambilla 10, 50134 Firenze, Italy. Tel/Fax +39 055 7947054. E-mail: <email xlink:href="adeganello@hotmail.com">adeganello@hotmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2016</year></pub-date><volume>36</volume><issue>2</issue><fpage>139</fpage><lpage>143</lpage><history><date date-type="received"><day>28</day><month>11</month><year>2015</year></date><date date-type="accepted"><day>02</day><month>12</month><year>2015</year></date></history><permissions><copyright-statement>© Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy</copyright-statement><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">http://creativecommons.org/licenses/by-nc-nd/3.0/</ext-link></license-p></license></permissions><abstract><title>SUMMARY</title><p>The purpose of this report is to highlight how an unusual, outdated, unpopular and overlooked reconstructive method such as the masseter flap can be a reliable, straightforward and effective solution for oral reconstruction in selected cases. We report the transposition of the masseter crossover flap in two previously pre-treated patients presenting a second primary oral squamous cell carcinoma; excellent functional results with satisfactory cosmetic appearance were obtained in both cases. In the literature, only 60 cases of oral cavity and oropharyngeal reconstructions using the masseter flap have been reported. The possible clinical utility of this flap, even in modern head and neck reconstructive surgery, is presented and discussed. We believe that the masseter flap should enter in the armamentarium of every head and neck surgeon and be kept in mind as a possible solution since it provides an elegant and extremely simple procedure in suboptimal cases for microvascular reconstruction.</p></abstract><trans-abstract xml:lang="it"><title>RIASSUNTO</title><p>Lo scopo di questo lavoro è quello di evidenziare come una metodica ricostruttiva inusuale, datata ed impopolare come il lembo di massetere possa invece rappresentare, per casi selezionati, una soluzione affidabile, semplice ed efficace nelle ricostruzioni del cavo orale. Riportiamo di seguito l'utilizzo del lembo di massetere in due pazienti che presentavano un secondo tumore del cavo orale e che in precedenza erano già stati sottoposti ad intervento chirurgico nel distretto testa collo; in entrambi i casi sono stati ottenuti eccellenti risultati funzionali e soddisfacenti risultati estetici. In letteratura, fino ad oggi, sono stati riportati solo 60 casi di ricostruzione del cavo orale e dell'orofaringe con il lembo di massetere. L'utilità clinica del lembo di massetere, anche nell'ambito di un approccio moderno alle ricostruzioni del distretto testa collo, viene discussa approfonditamente in questo articolo. Riteniamo che il lembo di massetere debba far parte del bagaglio culturale di ogni chirurgo del testa-collo ed essere considerato fra le alternative proponibili, in quanto ha dimostrato di essere una metodica elegante ed estremamente semplice in casi in cui sussistono delle perplessità sulle procedure microvascolari.</p></trans-abstract><kwd-group><title>KEY WORDS</title><kwd>Oral cavity reconstruction</kwd><kwd>Masseter flap</kwd><kwd>Second primary tumor</kwd><kwd>Vessel depleted neck</kwd><kwd>Pedicled flap</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Italie</li><li>Pays-Bas</li></country><region><li>Groningue (province)</li></region><settlement><li>Groningue</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Mahieu, R" sort="Mahieu, R" uniqKey="Mahieu R" first="R." last="Mahieu">R. Mahieu</name></noRegion><name sortKey="Colletti, G" sort="Colletti, G" uniqKey="Colletti G" first="G." last="Colletti">G. Colletti</name><name sortKey="Deganello, A" sort="Deganello, A" uniqKey="Deganello A" first="A." last="Deganello">A. Deganello</name><name sortKey="Gualtieri, T" sort="Gualtieri, T" uniqKey="Gualtieri T" first="T." last="Gualtieri">T. Gualtieri</name><name sortKey="Russo, S" sort="Russo, S" uniqKey="Russo S" first="S." last="Russo">S. Russo</name></country><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Mahieu, R" sort="Mahieu, R" uniqKey="Mahieu R" first="R." last="Mahieu">R. Mahieu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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