4 results match your criteria: "Hospital Universitario Donostia-Donostia Unibersitate Ospitalea[Affiliation]"

Porcine experimental model for gracilis free flap transfer to the head and neck area with novel donor site description.

J Plast Reconstr Aesthet Surg

January 2020

Head and Neck Surgery and Reconstructive Surgery Section of the Oto-rhino-laryngology Department, Hospital Universitario Donostia-Donostia Unibersitate Ospitalea, P° Dr. Begiristain 109, 20004 Donostia San Sebastián, Gipuzkoa, Spain.

Introduction: Functional free tissue transfer in the form of muscle free flap is a challenging surgical procedure and needs a steep learning curve. A porcine model for free muscle transfer and insetting in a distant area is of great interest in reconstructive microsurgery due to the experience and learning curve necessary to perform these surgeries. The aim of this study was to assess the feasibility of a swine model for gracilis muscle free transfer and to describe the donor site anatomy.

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Transoral surgery of the oropharynx has seen an important evolution in recent years, expanding the surgical options available (TORS, TOUSS, TOLS). The capacity to resect increasingly extensive lesions and the number of patients who benefit from them. This fact has led to an evolution in the reconstruction of surgical defects after transoral surgery.

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Article Synopsis
  • - Total laryngectomy is a crucial treatment for advanced laryngeal cancer, leading to higher survival rates but resulting in significant lifestyle changes for patients, including loss of verbal communication and altered breathing.
  • - The article, created by a specialized workgroup, aims to provide guidance on materials and procedures for the comprehensive rehabilitation of total laryngectomy patients to enhance their overall quality of life.
  • - It targets healthcare professionals, patients, and ENT surgeons, outlining necessary staffing, procedures, rehabilitation types, and follow-up care to ensure effective treatment and support for patients post-surgery.
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Introduction: The supraclavicular island flap is a rotational pedicled flap and may have some advantages in head and neck reconstruction compared with free-tissue transfer when this kind of reconstruction is not affordable or recommended.

Material And Methods: We present our experience during the year 2016 in the application of the supraclavicular island flap in five cases as an alternative to microvascular reconstruction in several defects after resection of head and neck tumours. In two patients, the flap was used to close the surgical pharyngostoma after total laryngectomy with partial pharyngectomy.

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