The Using of Cervical and Deltopectoral Flaps in the Reconstruction Surgery of Head and Neck Area- Juniper Publishers

JUNIPER PUBLISHERS- OPEN ACCESS JOURNAL OF DENTISTRY & ORAL HEALTH


The Using of Cervical and Deltopectoral Flaps in the Reconstruction Surgery of Head and Neck Area


Authored by Parisa Foroughiasl


Abstract

Over the past three decades, many advances have been made in the treatment of head and neck cancer. These include the combination of radiation therapy and chemotherapy with surgery, conservation laryngeal surgery, and modifications of the classic radical neck dissection. The desire to improve postoperative outcomes by focusing on preservation of tissue and function led to these advances and resulted in more rapid recovery and decreased cosmetic deformities while maintaining equal cure rates to prior techniques. Despite the fact that these changes have decreased morbidity, overall survival rates for patients with head and neck cancer has reached a plateau over the past several decades. Because of this, the focus of many head and neck surgeons in the past 20 years has been directed at further decreasing morbidity from surgery and improving functional and reconstructive outcomes. Squamous cell carcinoma is one of the most common malignant tumors of the skin and oral mucosa. However, squamous cell carcinoma involving near total upper and lower lip and oral commissure. Simultaneous reconstruction of the lower lip has been inconclusive and presents a challenge to the surgeon. We report such a case and outline our simultaneous reconstruction with local flaps. To the best of our knowledge this has never been reported.

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