Flap Selection in Head and Neck Cancer Reconstruction

2013 ◽  
Vol 5 (3) ◽  
pp. 14-27
Author(s):  
Arunesh Gupta ◽  
Amresh S Baliarsing ◽  
Tushar S Thorat ◽  
Sanchit Garg ◽  
Uday Bahat ◽  
...  

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.

2013 ◽  
Vol 5 (2) ◽  
pp. 63-76 ◽  
Author(s):  
Arunesh Gupta ◽  
Amresh S Baliarsing ◽  
Tushar S Thorat ◽  
Uday Bhat ◽  
Sanchit Garg ◽  
...  

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. How to cite this article Baliarsing AS, Thorat TS, Gupta A, Bhat U, Garg S, Bhattacharyya D. Flap Selection in Head and Neck Cancer Reconstruction. Int J Otorhinolaryngol Clin 2013;5(2):63-76.


2008 ◽  
Vol 35 (3) ◽  
pp. 390-396 ◽  
Author(s):  
Tatsuya Fukuiwa ◽  
Kengo Nishimoto ◽  
Tamon Hayashi ◽  
Yuichi Kurono

Oral Oncology ◽  
2012 ◽  
Vol 48 (9) ◽  
pp. 811-816 ◽  
Author(s):  
Chia-Hsuan Tsai ◽  
Kai-Ping Chang ◽  
Shao-Yu Hung ◽  
Wei F. Chen ◽  
Ming-Huei Cheng ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (12) ◽  
pp. e52678 ◽  
Author(s):  
Huang-Kai Kao ◽  
Wei F. Chen ◽  
Chih-Hao Chen ◽  
Victor Bong-Hang Shyu ◽  
Ming-Huei Cheng ◽  
...  

2018 ◽  
Vol 160 (4) ◽  
pp. 573-579
Author(s):  
Peter M. Vila ◽  
Tam Ramsey ◽  
Lauren H. Yaeger ◽  
Shaun C. Desai ◽  
Gregory H. Branham

Objective To identify the method and rate at which cosmesis is reported after reconstruction from head and neck surgery among adults. Data Sources A medical librarian implemented search strategies in multiple databases for head and neck reconstruction, outcome assessment/patient satisfaction, and cosmesis/appearance. Review Methods Inclusion and exclusion criteria were designed to capture studies examining adults undergoing reconstruction after head and neck cancer surgery with assessment of postoperative cosmesis. The primary outcome was the method to assess cosmesis. Secondary outcomes were types of instruments used and the rate at which results were reported. Validated instruments used in these studies were compared and critically assessed. Results The search identified 4405 abstracts, and 239 studies met inclusion and exclusion criteria. Of these, 43% (n = 103) used a scale or questionnaire to quantify the cosmetic outcome: 28% (n = 66), a visual analog, Likert, or other scale; 13% (n = 30), a patient questionnaire; and 3% (n = 7), both. Of the 103 studies that used an instrument, 14% (n = 14, 6% overall) used a validated instrument. The most common validated instrument was the University of Washington Quality of Life (UWQOL) questionnaire (4%, n = 9). The most highly rated instruments were the UWQOL and the Derriford Appearance Scale. Conclusions Reporting of cosmetic outcomes after head and neck cancer reconstruction is heterogeneous. Most studies did not report patient feedback, and a minority used a validated instrument to quantify outcomes. To reduce bias, improve reliability, and decrease heterogeneity, we recommend the UWQOL to study cosmetic outcomes after head and neck reconstruction.


Head & Neck ◽  
1991 ◽  
Vol 13 (3) ◽  
pp. 213-216 ◽  
Author(s):  
Baby Jose ◽  
Joseph Banis ◽  
Michael Flynn ◽  
Robert Lindberg ◽  
William J. Spanos ◽  
...  

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