Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer
The study objective is to compare short-term results of reconstruction of a full-thickness defect of the cheek using pectoral and trapezoidal flaps.Materials and methods. Examination and treatment of 21 patients with locally advanced buccal cancer were performed at the Nizhny Novgorod Regional Clini...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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ABV-press
2019-04-01
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| Series: | Опухоли головы и шеи |
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| Online Access: | https://ogsh.abvpress.ru/jour/article/view/386 |
| _version_ | 1826558203166457856 |
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| author | D. V. Sikorsky S. О. Podvyaznikov A. N. Volodin K. V. Bazanov E. A. Molkova M. I. Kopeykina A. A. Egorov M. A. Kurochkina |
| author_facet | D. V. Sikorsky S. О. Podvyaznikov A. N. Volodin K. V. Bazanov E. A. Molkova M. I. Kopeykina A. A. Egorov M. A. Kurochkina |
| author_sort | D. V. Sikorsky |
| collection | DOAJ |
| description | The study objective is to compare short-term results of reconstruction of a full-thickness defect of the cheek using pectoral and trapezoidal flaps.Materials and methods. Examination and treatment of 21 patients with locally advanced buccal cancer were performed at the Nizhny Novgorod Regional Clinical Oncologic Dispensary in 2007–2018.Results. Flap necrosis developed in 7 (33 %) patients: in 3 patients total, in 4 – marginal. No postoperative mortality was observed. For pectoral flap reconstruction, necrosis was observed in 2 cases (marginal necrosis of the skin graft). For trapezoidal flap buccal reconstruction, necrosis was observed in 5 patients (total in 3, marginal in 2).Conclusion. Use of a trapezoidal flap is limited due to its anatomical characteristics and is associated with higher rate of necrosis despite better esthetic characteristics compared to a pectoral flap. Despite its larger volume compared to trapezoidal flap, pectoral flap has better blood supply which leads to low rate of necrosis. |
| first_indexed | 2024-04-10T01:58:23Z |
| format | Article |
| id | doaj.art-2f8a6a0f93b94a53b0e6bef17258e51b |
| institution | Directory Open Access Journal |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| last_indexed | 2025-03-14T08:40:45Z |
| publishDate | 2019-04-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj.art-2f8a6a0f93b94a53b0e6bef17258e51b2025-03-02T12:53:50ZrusABV-pressОпухоли головы и шеи2222-14682411-46342019-04-0191283710.17650/2222-1468-2019-9-1-28-37332Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancerD. V. Sikorsky0S. О. Podvyaznikov1A. N. Volodin2K. V. Bazanov3E. A. Molkova4M. I. Kopeykina5A. A. Egorov6M. A. Kurochkina7Nizhny Novgorod Regional Clinical Oncologic DispensaryRussian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaNizhny Novgorod Regional Clinical Oncologic DispensaryNizhny Novgorod Regional Clinical Oncologic DispensaryNizhny Novgorod Regional Clinical Oncologic DispensaryNizhny Novgorod Regional Clinical Oncologic DispensaryNizhny Novgorod Regional Clinical Oncologic DispensaryPrivolzhskiy Research Medical UniversityThe study objective is to compare short-term results of reconstruction of a full-thickness defect of the cheek using pectoral and trapezoidal flaps.Materials and methods. Examination and treatment of 21 patients with locally advanced buccal cancer were performed at the Nizhny Novgorod Regional Clinical Oncologic Dispensary in 2007–2018.Results. Flap necrosis developed in 7 (33 %) patients: in 3 patients total, in 4 – marginal. No postoperative mortality was observed. For pectoral flap reconstruction, necrosis was observed in 2 cases (marginal necrosis of the skin graft). For trapezoidal flap buccal reconstruction, necrosis was observed in 5 patients (total in 3, marginal in 2).Conclusion. Use of a trapezoidal flap is limited due to its anatomical characteristics and is associated with higher rate of necrosis despite better esthetic characteristics compared to a pectoral flap. Despite its larger volume compared to trapezoidal flap, pectoral flap has better blood supply which leads to low rate of necrosis.https://ogsh.abvpress.ru/jour/article/view/386full-thickness buccal defectsquamous-cell carcinomacombination treatmentcheeksegmental resectionpectoral flaptrapezoidal flapsurgical treatment |
| spellingShingle | D. V. Sikorsky S. О. Podvyaznikov A. N. Volodin K. V. Bazanov E. A. Molkova M. I. Kopeykina A. A. Egorov M. A. Kurochkina Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer Опухоли головы и шеи full-thickness buccal defect squamous-cell carcinoma combination treatment cheek segmental resection pectoral flap trapezoidal flap surgical treatment |
| title | Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer |
| title_full | Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer |
| title_fullStr | Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer |
| title_full_unstemmed | Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer |
| title_short | Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer |
| title_sort | pectoral and trapezoidal flaps for reconstruction of full thickness post resection defect in combination treatment of locally advanced buccal cancer |
| topic | full-thickness buccal defect squamous-cell carcinoma combination treatment cheek segmental resection pectoral flap trapezoidal flap surgical treatment |
| url | https://ogsh.abvpress.ru/jour/article/view/386 |
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