Venous anastomosis in free flap reconstruction after radical neck dissection: is the external jugular vein a feasible option?

Objective: To present a case of tongue reconstruction using radial forearm free flap. Methods: Design: Case Report Setting: Tertiary government hospital Patient: One Results: A 52-year- old female with a T3N2cM0 Stage IVa right tongue carcinoma underwent tracheotomy, right hemiglossectomy with modified radical neck dissection type III and extended supraomohyoid neck dissection on the left with radial forearm free flap reconstruction. After 1 month, the radial forearm free flap reconstruction in the tongue had acceptable appearance and good tongue mobility with intelligible speech. The patient did not complain about the appearance and function of the left forearm. Conclusion: The radial forearm free flap is a viable reconstructive option for tongue defects especially where a thin, pliable flap is needed. There is acceptable form and functional restoration with minimal donor site morbidity. Keywords: radial forearm free flap, tongue reconstruction

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The External Jugular Vein Used as Recipient Vessel in Head and Neck Free Flap Reconstruction

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000004873 ◽

2019 ◽

Vol 30 (1) ◽

pp. 178-183 ◽

Cited By ~ 3

Author(s):

Amir E. Ibrahim ◽

David M Adelman ◽

Christopher Parham ◽

Zhang Hong ◽

Mark Villa ◽

...

Keyword(s):

Head And Neck ◽

Free Flap ◽

Jugular Vein ◽

External Jugular Vein ◽

Flap Reconstruction ◽

Free Flap Reconstruction ◽

Recipient Vessel

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The importance of flaps in reconstruction of locoregionally advanced lateral skull-base cancer defects: a tertiary otorhinolaryngology referral centre experience

Radiology and Oncology ◽

10.2478/raon-2021-0012 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Domen Vozel ◽

Peter Pukl ◽

Ales Groselj ◽

Aleksandar Anicin ◽

Primoz Strojan ◽

...

Keyword(s):

Skull Base ◽

Neck Dissection ◽

Temporal Bone ◽

Free Flap ◽

Radical Neck Dissection ◽

Selective Neck Dissection ◽

Flap Reconstruction ◽

Referral Centre ◽

Regional Flap ◽

Lateral Skull Base

Abstract Background The aim of the study was to identify the value of extensive resection and reconstruction with flaps in the treatment of locoregionally advanced lateral skull-base cancer. Patients and methods The retrospective case review of patients with lateral skull-base cancer treated surgically with curative intent between 2011 and 2019 at a tertiary otorhinolaryngology referral centre was made. Results Twelve patients with locoregionally advanced cancer were analysed. Lateral temporal bone resection was performed in nine (75.0%), partial parotidectomy in six (50.0%), total parotidectomy in one (8.3%), ipsilateral selective neck dissection in eight (66.7%) and ipsilateral modified radical neck dissection in one patient (8.3%). The defect was reconstructed with anterolateral thigh free flap, radial forearm free flap or pectoralis major myocutaneous flap in two patients (17.0%) each. Mean overall survival was 3.1 years (SD = 2.5) and cancer-free survival rate 100%. At the data collection cut-off, 83% of analysed patients and 100% of patients with flap reconstruction were alive. Conclusions Favourable local control in lateral skull-base cancer, which mainly involves temporal bone is achieved with an extensive locoregional resection followed by free or regional flap reconstruction. Universal cancer registry should be considered in centres treating this rare disease to alleviate analysis and multicentric research.

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Reconstruction with free flaps in robotic head-and-neck onco-surgeries

Indian Journal of Plastic Surgery ◽

10.4103/ijps.ijps_35_18 ◽

2018 ◽

Vol 51 (03) ◽

pp. 283-289 ◽

Cited By ~ 1

Author(s):

Rajan Arora ◽

Vinay Kumar Verma ◽

Kripa Shanker Mishra ◽

Hemant Bhoye ◽

Rahul Kapoor

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Dissection ◽

Neck Cancer ◽

Free Flap ◽

Free Flaps ◽

Cancer Surgery ◽

Flap Reconstruction ◽

Free Flap Reconstruction ◽

Good Outcome

ABSTRACT Aims and Objective: The aim of the present article is to highlight how reconstruction with free flaps is different and difficult in cases with robotic head-and-neck cancer surgery. It also highlights the technical guidelines on how to manage the difficulties. Materials and Methods: Eleven patients with oropharyngeal cancer having undergone tumour excision followed by free-flap reconstruction been reviewed here. Nine patients had tumour excision done robotically through intraoral route while neck dissection done with transverse neck crease incision. There is a problem of difficult flap inset in this group of patient. Two patients had intraoral excision of tumour followed by robotic neck dissection via retroauricular incision. With no incision directly on the neck, microvascular anastomosis is challenging in this set of patients. Free flap was used in all the cases to reconstruct the defect. Results: Successful reconstruction with free flap was done in all the cases with good outcome both functionally and aesthetically. Conclusion: Free-flap reconstruction is possible in robotic head-and-neck cancer surgery despite small and difficult access, but it does need practice and some technical modifications for good outcome.

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