PhD Scientific Days 2024

Poster Session O - Surgical Medicine

Novel opportunity for intraoral reconstruction

Előadó neve

Dr. Füzes, Attila

Neptun code

C1MNUN

Előadó munkahelye

Head and Neck Multidisciplinary Cancer Center, National Institute of Oncology

Előadó telefonszáma

+36305704252

Előadó e-mail címe

fuzesatika@gmail.com

Az előadás címe

Novel opportunity for intraoral reconstruction

Szerző(k) neve és munkahelye

Füzes Attila¹, Szanyi Szilárd², Sahin-Tóth Tibor¹, Csizmazia Dániel¹, Szanyi Marcell¹, Tamás László³, Oberna Ferenc²

1: Head and Neck Multidisciplinary Cancer Center, National Institute of Oncology
2: Head and Neck Multidisciplinary Cancer Center, National Institute of Oncology, National Tumor Biology Laboratory
3: Department of Otorhinolaryngology, Head and Neck Surgery, Semmelweis University, Faculty of Medicine

Bemutatás módja

Poszter

Szekció

Poster Session O - Surgical Medicine

Language of the presentation

Hungarian

Preferred session

Surgical Medicine

Összefoglaló szövege

Introduction:
In our country and according to the literature, the first choice for the reconstruction of extensive defects after the removal of locally advanced oral tumors is free flap reconstruction, which achieves the best functional outcome. In the case of flap choice, donor site morbidity should be handled as a priority.
Aims:
In our practice, the free radial forearm flap is the flap of choice for the reconstruction of large superficial oral defects. However, the donor site morbidity of the forearm flap can be high, one reason being that the donor site usually has to be skin grafted. We investigated whether the anterolateral thigh flap, which can be closed primarily at the donor site and usually is indicated for large or complex defects, can be adapted for thin defects as well.
Methods:
Ten patients who underwent radical ablative surgery for oral squamous cell carcinoma were reconstructed with an anterolateral thigh flap harvested in the superficial fascia plane. We investigated the thinning potential, the incorporation of the flap and the complication rate of the donor site. Our results were compared with those obtained in patients with radial forearm flap reconstruction.
Results:
Out of 10 reconstructed patients with a thinned anterolateral thigh flap seven underwent surgery for sublingual tumor and three for tongue tumor. All flaps healed uneventful. The average flap thickness was 9.25 mm and the average pedicle length was 11.7 cm, which was similar to the radial forearm flap (8 mm and 12.5 cm). No complications were observed at the donor site, and in none of the cases did the donor site need to be skin grafted.
Conclusions:
In the practice of the Hungarian oncology centers, the reconstruction of partial tongue or floor of the mouth defects following ablative surgery for locally advanced oral tumors is almost always performed with a free radial forearm flap. The anterolateral thigh flap harvested in the superficial fascia plane is an appropriate choice for function preservation and closure of the oral cavity. It has similar characteristics as the radial forearm flap in terms of tissue quality and thickness, but has a lower donor site morbidity. A wider use is recommended.
Funding:
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

University

Semmelweis University

Supervisor

Tamás László, Oberna Ferenc

Publication of my abstract

I do not give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

8079

Start

16:20

End

16:23