scholarly journals THE USE OF THE SUBMENTAL FLAP IN RECONSTRUCTION OF HEAD AND NECK DEFECTS

2018 ◽  
Vol 17 (3) ◽  
pp. 51-57
Author(s):  
O. A. Saprina ◽  
R. I. Azizyan ◽  
V. Zh. Brzhezovsky ◽  
A. M. Mudunov ◽  
I. S. Romanov ◽  
...  

Reconstruction of head and neck defects after surgery for cancer remains challenging. The choice of the reconstruction technique  depends on the tumor size and localization, type of the defect,  patient’s age, concomitant diseases, and disease prognosis.  Surgeons have currently a broad range of material for reconstructive surgery, from free flaps to revascularized flaps. Microsurgical  reconstruction has made a revolution in treatment of patients with  complex head and neck defects. However, the use of this technique may not be advisable for some patients. The search for  new techniques is needed to improve functional and aesthetic results and reduce traumatism without compromising oncologic outcomes.  Thirty-six patients underwent surgery with reconstruction using the  submental island flap, a new alternative in the reconstruction of  various head and neck defects. The graft was taken after making a  neck incision for neck lymph node dissection. A few patients develop  total and marginal necrosis of the graft. Short- and long-term results showed no worsening of oncologic outcomes in the selected group of patients.

2003 ◽  
Vol 223 (7) ◽  
pp. 1006-1012 ◽  
Author(s):  
Dr. Grisneaux ◽  
Jacques Dupuis ◽  
Philippe Pibarot ◽  
Norbert H. Bonneau ◽  
Benoit Charette ◽  
...  

Oral Oncology ◽  
2011 ◽  
Vol 47 (1) ◽  
pp. 72-75 ◽  
Author(s):  
Young-Hoon Joo ◽  
Se-Hwan Hwang ◽  
Dong-Il Sun ◽  
Jun-Ook Park ◽  
Kwang-Jae Cho ◽  
...  

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joaquin Munoz-Rodriguez ◽  
Javier López Monclús ◽  
Alvaro Robin Valle de Lersundi ◽  
Luis Blázquez Hernando ◽  
Miguel Ángel García Ureña

Abstract Aim Analyze and evaluate the results obtained in patients undergoing transit reconstruction surgery in which an abdominal wall reconstruction (AWR) is associated using a multidisciplinary approach. Material and Methods All patients who underwent an intestinal transit reconstruction associated with an AWR surgery were identified from a prospectively maintained multicenter database. Short and long-term results have been analyzed, especially AWR outcomes. Results 10 patients were identified. 60% were men. Mean time since previous surgery was 1.66 years. 8 cases (80%) associated a midline incisional hernia with the parastomal hernia. 3 (30%) bilateral posterior component separation (PCS) Madrid transverse abdominis muscle release (Madrid TAR) modification, 5 (50%) unilateral Madrid TAR, 1 (10%) PCS Carbonell, and 1 (10%) Rives-Stoppa techniques were performed. A double mesh reconstruction technique was used in 60% of the patients, associating absorbable mesh with a permanent mesh. One patient presented a paucisymptomatic colorectal anastomosis fistula, that could be managed conservatively. A case of postsurgical ileus was also evidenced. Surgical site ocurrences (SSO) were recorded in 4 patients (40%), all of them related to surgical site infection that required a bedside wound opening. During a mean follow-up of 24 (+/- 15) months, there was no evidence of hernia recurrence. No cases of bulging, chronic mesh infection or chronic pain were reported. No case of mortality was recorded in the series. Conclusions Intestinal transit reconstruction surgery associated with an AWR, with a multidisciplinary team managed, presents acceptable long-term results, despite the high SSO associated.


Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Robert ◽  
Mariéthoz ◽  
Pache ◽  
Bertin ◽  
Caulfield ◽  
...  

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.


Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Boštjan Lanišnik ◽  
Vojko Didanovič ◽  
Bogdan Čizmarevič

2012 ◽  
Vol 15 (1) ◽  
pp. 4 ◽  
Author(s):  
David M. Holzhey ◽  
William Shi ◽  
A. Rastan ◽  
Michael A. Borger ◽  
Martin H�nsig ◽  
...  

<p><b>Introduction:</b> The goal of this study was to compare the short- and long-term outcomes after aortic valve (AV) surgery carried out via standard sternotomy/partial sternotomy versus transapical transcatheter AV implantation (taTAVI).</p><p><b>Patients and Methods:</b> All 336 patients who underwent taTAVI between 2006 and 2010 were compared with 4533 patients who underwent conventional AV replacement (AVR) operations between 2001 and 2010. Using propensity score matching, we identified and consecutively compared 2 very similar groups of 167 patients each. The focus was on periprocedural complications and long-term survival.</p><p><b>Results:</b> The 30-day mortality rate was 10.8% and 8.4% (<i>P</i> = .56) for the conventional AVR patients and the TAVI patients, respectively. The percentages of postoperative pacemaker implantations (15.0% versus 6.0%, <i>P</i> = .017) and cases of renal failure requiring dialysis (25.7% versus 12.6%, <i>P</i> = .004) were higher in the TAVI group. Kaplan-Meier curves diverged after half a year in favor of conventional surgery. The estimated 3-year survival rates were 53.5% � 5.7% (TAVI) and 66.7% � 0.2% (conventional AVR).</p><p><b>Conclusion:</b> Our study shows that even with all the latest successes in catheter-based AV implantation, the conventional surgical approach is still a very good treatment option with excellent long-term results, even for older, high-risk patients.</p>


1995 ◽  
Vol 46 (5) ◽  
pp. 853 ◽  
Author(s):  
NS Barrett

Movement patterns were studied on a 1-ha isolated reef surrounding Arch Rock in southern Tasmania. Short-term movements were identified from diver observations, and interpretation of long-term movements involved multiple recaptures of tagged individuals. Visual observations indicated that the sex-changing labrids Notolabrus tetricus, Pictilabrus laticlavius and Pseudolabrus psittaculus were all site-attached, with females having overlapping home ranges and males being territorial. In the non-sex-changing labrid Notolabrus fucicola and in the monacanthids Penicipelta vittiger and Meuschenia australis, there was no evidence of territorial behaviour and 1-h movements were in excess of the scale of the study. The long-term results indicated that all species were permanent reef residents, with most individuals of all species except M. australis always being recaptured within a home range of 100 m × 25 m or less. Only 15% of individuals of M. australis were always recaptured within this range category. The natural habitat boundary of open sand between the Arch Rock reef and adjacent reefs appeared to be an effective deterrent to emigration. The use of natural boundaries should be an important consideration in the design of marine reserves where the aim is to minimize the loss of protected species to adjacent fished areas.


2017 ◽  
Vol 66 (4) ◽  
pp. e91-e92
Author(s):  
Roy W. Jones ◽  
Adam Tanious ◽  
Paul Armstrong ◽  
Neil Moudgill ◽  
Karl A. Illig ◽  
...  

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