Background: The large defects resulting from head and neck tumour surgeries present a reconstructive challenge to surgeons. Although numerous methods can be used, they all have their own limitations. In this paper, we present our experience with cervicofacial and cervicothoracic rotation flaps to help expand the awareness and application of this useful system of flaps.
Methods: Twenty-one consecutive patients who underwent repair of a variety of defects of the head and neck with cervicofacial or cervicothoracic flaps in our hospital from 2006 to 2009 were retrospectively analysed. Statistics pertaining to the patients' clinical factors were gathered.
Results: Cheek neoplasms are the most common indication for cervicofacial and cervicothoracic rotation flaps, followed by parotid tumours. Among the 12 patients with medical comorbidities, the most common was hypertension. Defects ranging from 1.5 cm × 1.5 cm to 7 cm × 6 cm were reconstructed by cervicofacial flap, and defects from 3 cm × 2 cm to 16 cm × 7 cm were reconstructed by cervicothoracic flap. The two flaps also exhibited versatility in these reconstructions. When combined with the pectoralis major myocutaneous flap, the cervicothoracic flap could repair through-and-through cheek defects, and in combination with a temporalis myofacial flap, the cervicofacial flap was able to cover orbital defects. Additionally, 95% patients were satisfied with their resulting contour results.
Conclusions: Cervicofacial and cervicothoracic flaps provide a technically simple, reliable, safe, efficient and cosmetic means to reconstruct defects of the head and neck.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3235176 | PMC |
| http://dx.doi.org/10.1186/1477-7819-9-135 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cervicothoracic Emphysema After Nasotracheal Intubation Attempt: A Life-Threatening Complication-A Case Report.
A A Pract
January 2025
From the Departments of Anesthesiology.
Nasotracheal intubation is a commonly used technique in elective oral and pharyngeal surgeries. This case report details an incident involving a young adult patient in which an attempt at nasotracheal intubation resulted in a life-threatening cervicofacial and thoracic emphysema. Although complications associated with nasotracheal intubation are rare, their potential severity necessitates a comprehensive preprocedural discussion and risk assessment with the surgical team to confirm its appropriate indication for each individual patient.
View Article and Find Full Text PDFOutcomes of Reconstructing Large Oncosurgical Defects of the Lateral Face in Older Cutaneous Cancer Patients Using Cervicofacial and Cervicothoracic Flaps.
J Craniofac Surg
November 2024
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou.
Article Synopsis
- Older patients with skin cancer often have other health issues, making tumor removal and reconstruction difficult.
- This study assesses the safety and effectiveness of two surgical techniques, cervicofacial (CFF) and cervicothoracic (CTF) flaps, for repairing large facial defects in older patients.
- Results showed both methods are reliable, with no complete flap failures and a majority of patients remaining disease-free post-surgery.
Tracheocele: A Rare Entity.
Iran J Otorhinolaryngol
July 2022
Department of ENT and Cervicofacial Surgery. Habib Bourguiba's Teaching Hospital, El Ferdaous Avenue, 3029 Sfax, Tunisia. University of Sfax.
Introduction: Tracheocele or tracheal diverticulum is an uncommon benign entity that can be congenital or acquired. It is usually diagnosed incidentally on cervicothoracic imaging. Our aim is to describe the etiopathogenic, clinical and paraclinical features of the tracheocele as well as its therapeutic modalities.
View Article and Find Full Text PDFCervico-thoracic cellulitis at the Yalgado Ouedraogo University Hospital: About 50 cases.
J Stomatol Oral Maxillofac Surg
November 2022
Department of Stomatology and Maxillofacial Surgery of the Yalgado Ouedraogo University Hospital, CHU-YO Ougadougou: Centre Hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
Introduction: Cervicofacial cellulitis is mainly due to neglected oral/pharyngeal diseases. Untreated or incorrectly treated, they can be complicated by thoraco-cervical necrosis, which has a gloomy prognosis and is difficult to manage, especially in an under-medicalized environment. The aim of this work was to report the difficulties of management in precarious context by underlining the interest of primary prevention.
View Article and Find Full Text PDFBurned unilateral half-cheek resurfacing techniques.
J Burn Care Res
December 2012
Department of Reconstructive and Plastic Surgery, A.V. Vishnevsky Institute of Surgery of Russian Academy of Medical Sciences, Moscow, Russia.
Postburn cheek deformities are a tragedy for patients and pose a great challenge to surgeons due to a limited number of well-matching donor sites. In cases of unilateral half-cheek deformity, the flap's skin should match the contralateral cheek and the residual skin of the deformed cheek. The skin of a distant flap does not match the facial skin and resembles a patch.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!