FREE FLAP RECONSTRUCTION AFTER ENDOSCOPIC AND ROBOTIC NECK DISSECTION USING RETROAURICULAR APPROACH

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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Minimally-invasive neck dissection and free flap reconstruction in patients with cancer of the head and neck

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.bjoms.2016.08.021 ◽

2017 ◽

Vol 55 (1) ◽

pp. 46-49 ◽

Cited By ~ 3

Author(s):

D.W.K. Hsu ◽

A. Sayan ◽

P. Ramchandani ◽

V. Ilankovan

Keyword(s):

Minimally Invasive ◽

Head And Neck ◽

Neck Dissection ◽

Free Flap ◽

Flap Reconstruction ◽

Free Flap Reconstruction ◽

Patients With Cancer

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Minimal access neck dissection with free flap reconstruction in head and neck cancer

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2015.08.603 ◽

2015 ◽

Vol 44 ◽

pp. e81

Author(s):

W.K. Hsu ◽

A. Sayan ◽

P.L. Ramchandani ◽

V. Ilankovan ◽

S. Segleman

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Dissection ◽

Neck Cancer ◽

Free Flap ◽

Minimal Access ◽

Flap Reconstruction ◽

Free Flap Reconstruction

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Radial Forearm Flap for Tongue Reconstruction

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v23i2.745 ◽

2008 ◽

Vol 23 (2) ◽

pp. 43-45

Author(s):

Rodney Oliver J. Aragon ◽

Samantha Soriano –Castaneda ◽

Joselito F. David

Keyword(s):

Neck Dissection ◽

Free Flap ◽

Donor Site ◽

Radical Neck Dissection ◽

Functional Restoration ◽

Radial Forearm Free Flap ◽

Flap Reconstruction ◽

Free Flap Reconstruction ◽

Radial Forearm ◽

Tongue Reconstruction

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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