Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection
Background. Oral mucosal cancer is the most prevalent squamous cell cancer of head and neck, with 6,723 cases registered in Russia, including 94 per Volgograd Region, in 2018. A high tumour advancement and complex topography of the surgical area result in extensive soft-tissue defects and impaired s...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Bashkir State Medical University
2021-05-01
|
| Series: | Креативная хирургия и онкология |
| Subjects: | |
| Online Access: | https://www.surgonco.ru/jour/article/view/582 |
| _version_ | 1826532757402025984 |
|---|---|
| author | N. V. Kovalenko A. Yu. Nenarokomov A. I. Ivanov S. Ye. Tolstopyatov V. V. Zhavoronkova A. G. Chukhnin D. L. Speransky T. F. Deviatchenko |
| author_facet | N. V. Kovalenko A. Yu. Nenarokomov A. I. Ivanov S. Ye. Tolstopyatov V. V. Zhavoronkova A. G. Chukhnin D. L. Speransky T. F. Deviatchenko |
| author_sort | N. V. Kovalenko |
| collection | DOAJ |
| description | Background. Oral mucosal cancer is the most prevalent squamous cell cancer of head and neck, with 6,723 cases registered in Russia, including 94 per Volgograd Region, in 2018. A high tumour advancement and complex topography of the surgical area result in extensive soft-tissue defects and impaired swallowing, chewing and speech.Aim. Efficacy assessment of submental myodermal flap application in buccal reconstruction after extended combined oncological resections.Materials and methods. Submental myodermal flap was used as a buccal reconstruction technique in 112 patients aged 42 to 75 years during 2015–2020. Surgery for primary tumour was performed in 88 cases, and in 24 — for recurrence after radiotherapy or surgical excision.Results and discussion. A six-year experience of the submental myodermal flap usage in reconstructive surgery allowed evidently wider indications for extensive oral resection combined with extended, also bilateral, lymphadenectomy. Clinical records on the technique application in primary and recurrent cancer are presented.Conclusion. The submental myodermal flap technique in combination with extended or extended combined surgery for oral mucosal cancer notably increases the tumour resectability at this location and improves function restore in patients. The method widens indications for higher-volume operative aid, considerably reduces postoperative complications and holds a promise to enable more radical surgery. This plastic surgery technique is aesthetic and effectively repairs speech and digestive functions, bringing improvement to the patients’ quality of life and social adaptation. |
| first_indexed | 2024-04-10T00:58:49Z |
| format | Article |
| id | doaj.art-aeb6d172e24b406094fb9f7ee26cd12f |
| institution | Directory Open Access Journal |
| issn | 2076-3093 2307-0501 |
| language | English |
| last_indexed | 2025-03-14T01:56:18Z |
| publishDate | 2021-05-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj.art-aeb6d172e24b406094fb9f7ee26cd12f2025-03-12T07:05:51ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012021-05-0111213213710.24060/2076-3093-2021-11-2-132-137427Submental Myodermal Flap in Buccal Reconstruction after Extended Combined ResectionN. V. Kovalenko0A. Yu. Nenarokomov1A. I. Ivanov2S. Ye. Tolstopyatov3V. V. Zhavoronkova4A. G. Chukhnin5D. L. Speransky6T. F. Deviatchenko7Volgograd State Medical University; Volgograd Regional Clinical Oncological DispensaryVolgograd State Medical UniversityVolgograd State Medical University; Volgograd Regional Clinical Oncological DispensaryVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityBackground. Oral mucosal cancer is the most prevalent squamous cell cancer of head and neck, with 6,723 cases registered in Russia, including 94 per Volgograd Region, in 2018. A high tumour advancement and complex topography of the surgical area result in extensive soft-tissue defects and impaired swallowing, chewing and speech.Aim. Efficacy assessment of submental myodermal flap application in buccal reconstruction after extended combined oncological resections.Materials and methods. Submental myodermal flap was used as a buccal reconstruction technique in 112 patients aged 42 to 75 years during 2015–2020. Surgery for primary tumour was performed in 88 cases, and in 24 — for recurrence after radiotherapy or surgical excision.Results and discussion. A six-year experience of the submental myodermal flap usage in reconstructive surgery allowed evidently wider indications for extensive oral resection combined with extended, also bilateral, lymphadenectomy. Clinical records on the technique application in primary and recurrent cancer are presented.Conclusion. The submental myodermal flap technique in combination with extended or extended combined surgery for oral mucosal cancer notably increases the tumour resectability at this location and improves function restore in patients. The method widens indications for higher-volume operative aid, considerably reduces postoperative complications and holds a promise to enable more radical surgery. This plastic surgery technique is aesthetic and effectively repairs speech and digestive functions, bringing improvement to the patients’ quality of life and social adaptation.https://www.surgonco.ru/jour/article/view/582oral mucosabuccal neoplasmsreconstructive surgerymyodermal flapsubmental flaplymph node resection |
| spellingShingle | N. V. Kovalenko A. Yu. Nenarokomov A. I. Ivanov S. Ye. Tolstopyatov V. V. Zhavoronkova A. G. Chukhnin D. L. Speransky T. F. Deviatchenko Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection Креативная хирургия и онкология oral mucosa buccal neoplasms reconstructive surgery myodermal flap submental flap lymph node resection |
| title | Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection |
| title_full | Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection |
| title_fullStr | Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection |
| title_full_unstemmed | Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection |
| title_short | Submental Myodermal Flap in Buccal Reconstruction after Extended Combined Resection |
| title_sort | submental myodermal flap in buccal reconstruction after extended combined resection |
| topic | oral mucosa buccal neoplasms reconstructive surgery myodermal flap submental flap lymph node resection |
| url | https://www.surgonco.ru/jour/article/view/582 |
| work_keys_str_mv | AT nvkovalenko submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT ayunenarokomov submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT aiivanov submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT syetolstopyatov submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT vvzhavoronkova submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT agchukhnin submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT dlsperansky submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection AT tfdeviatchenko submentalmyodermalflapinbuccalreconstructionafterextendedcombinedresection |