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VOLUME 5 , ISSUE 3 ( Number, 2013 ) > List of Articles

REVIEW ARTICLE

Flap Selection in Head and Neck Cancer Reconstruction

Arunesh Gupta, Amresh S Baliarsing, Tushar S Thorat, Sanchit Garg, Uday Bahat, Diptarka Bhattacharya

Citation Information : Gupta A, Baliarsing AS, Thorat TS, Garg S, Bahat U, Bhattacharya D. Flap Selection in Head and Neck Cancer Reconstruction. Int J Otorhinolaryngol Clin 2013; 5 (3):14-27.

DOI: 10.5005/aijoc-5-3-14

License: CC BY-NC 3.0

Published Online: 01-07-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Advances in head and neck reconstruction techniques have improved the results in function and the aesthetic outcome. Several flaps with different composition are available for specific reconstruction to achieve optimum result. Sensate free tissue transfer, dental rehabilitation and epiphyseal transfer for pediatric mandible are also now possible to achieve better function. The specific choice of the flap according to the region of defect and important keypoints in harvesting and reconstruction strategy for head and neck cancer are based on our experience in the last two decades.


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  1. Tumours of the lips, oral cavity and oropharynx. InMathes SJ editor. Plastic surgery. 2nd ed. volume 1. Philadelphia: Saunders Elsevier 2006:159–187.
  2. The temporal flap in intra-oral cancer: its use in repairing the post-excisional defect. Br J Plast Surg 1963;16:318.
  3. A technique for primary reconstruction of the palate after radical maxillectomy for cancer. Plast Reconstr Surg 1963;31:103.
  4. The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 1979;63:73–81.
  5. The free forearm flap. Chin Med J 1981;61:4.
  6. Repair of forehead defects by rotation flaps. Plast Reconstr Surg 1976;57;204.
  7. Principlization of plastic surgery. Boston: Little, Brown; 1986:250–350.
  8. Four flap scalp reconstruction technique. Br J Plast Surg 1967;20:159–171.
  9. Scalp and forehead reconstruction using free revascularized tissue transfer. Arch Facial Plast Surg 2004;6:16–20.
  10. Periocular reconstruction: a systematic approach. Plast Reconstr Surg 1993;91(6):1017–1024.
  11. Reconstructive surgery of eyelids. St Louis: Mosby, 1943.
  12. Method for partial and total upper lid reconstruction. Am J Ophthalmol 1955;39:1.
  13. Repair and reconstruction of orbital region. 2nd ed. Edinburg: Churchill Livingstone, 1980:150–160.
  14. Eyelid reconstruction or blepharopoesis in plastic surgery of the orbit and eyelids. New York: Mason; USA Inc, 1981.
  15. Aesthetic reconstruction of the nose. St Louis, MO: Mosby; 1993:30–57.
  16. The bilobed flap for nasal reconstruction. Arch Dermatol 1989;125:957.
  17. The nasolabial cheek flap. Am Surg 1958;24;506.
  18. Reconstructive rhinoplasty for the lower half of nose. Plast Reconstr Surg 1974;53:133.
  19. Prelaminated free flap reconstruction of complex central facial defects. Plast Reconstr Surg 1999;104:357–365.
  20. Local flaps in head and neck reconstruction, 2nd ed. St Louis: Quality Medical; 2007:134–140.
  21. Design of local flaps. InGibson T, editor. Modern trends of plastic surgery (Vol. 2). London: Butterworth; 1966;38–61.
  22. Deep-plane cervicofacial rotation advancement flap for reconstruction of large cheek defects. Plast Reconstr Surg 1994;94:88.
  23. Use of temporal muscle flap for reconstruction after orbitomaxillary resections for cancer. Plast Reconstr Surg 1975;56:171.
  24. Reconstruction with submental flap for aggressive orofacial cancer. Plast Reconstr Surg 2007;120:431–436.
  25. Maxillofacial and palatal reconstruction with deltopectoral flap. Br J Plast Surg 1977;30:17.
  26. Forehead skin flaps, Ch105. In Grabb's Encyclopedia of flaps, 3rd ed volume 1, Philadelphia, Lippincott Williams & Wilkins. 2009:294–305.
  27. The radial forearm flap in intraoral reconstruction: the experience of 60 consecutive cases. Plast Reconstr Surg 1986;78:1–8.
  28. The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 1984;37:149–1598.
  29. Bone transfer from iliac creast to maxillofacial defect by microsurgical technique. J Maxillofac Surg 1980;8:210.
  30. Reconstruction of midfacial defects after surgical resection of malignancies. Clin Plast Surg 1995;22(1):79–89.
  31. The radial forearm osteocutaneous “sandwich”free flap for reconstruction of the bilateral subtotal maxillectomy defect. Ann Plast Surg 1998;40(4):397–402.
  32. A new plastic operation for the relief of deformity due to double harelip. Plast Reconstr Surg 1968;42(5):481–483.
  33. Strategies in lip reconstruction. Clin Plast Surg 2009;36(3):477–485.
  34. Crescentic peri-alar cheek excision for upper lip flap advancement with a short history of upper lip repair. Plast Reconstr Surg 1955;16:434–464.
  35. ‘Staircase‘ closure of lower lip defects. Ann Plast Surg 1978;1:392–397.
  36. Gate flap for the total reconstruction of the lower lip. Br J Plast Surg 1980;33(3):340–345.
  37. Reconstruction of total lower lip and chin defects using the composite radial forearm— palmaris longus tendon free flap. Arch Facial Plast Surg 2000;2(1):53–56.
  38. Limiting donor site morbidity by suprafascial dissection of the radial forearm flap. Microsurgery 1996;17:136–140.
  39. The lateral upper arm flap: Anatomy and clinical applications. Ann Plast Surg 1984;12:489.
  40. Nasolabial subcutaneous pedicled flap. Rr J Plast Surg 1975;28;85.
  41. Pectoralis major musculocutaneous flap in oropharyngeal reconstruction: revisited. Plast Reconstr Surg 2006;118:1145–1149.
  42. Tongue reconstruction with free radial forearm flap after hemiglossectomy: a functional assessment. J Reconstr Microsurg 2003;19:137–142.
  43. A strategic approach for tongue reconstruction to achieve predictable and improved functional and aesthetic outcomes. Plast Reconstr Surg 2010;126;1967–1977.
  44. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 1989;84:71–79.
  45. Fibula osteoseptocutaneous flap for reconstruction of composite mandibular defects. Plast Reconstr Surg 199493294–304. discussion 305-306.
  46. Pharyngoesophageal reconstruction with the anterolateral thigh flap: a clinical and functional outcomes study. Plast Reconstr Surg 2005;116:1845–1855.
  47. Sensate free radial forearm flap for tongue reconstruction; Arch Otolaryngol Head and Neck Surg 2001;127;1463–1466.
  48. Plast Reconstr Surg 1998;102;680–688.
  49. Mandibular growth following reconstruction using free fibula graft in paediatric facial skeleton. Plast Reconstr Surg 2005;116;419–426.
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