THE USE OF SUBMENTAL LOCAL FLAP AND RADIAL FREE FLAP FOR THE RECONSTRUCTION OF DEFECTS IN PATIENTS WITH ORAL CANCER
https://doi.org/10.18027/2224-5057-2018-8-3-39-48
Abstract
Introduction. Due to anatomical features, surgical treatment of oral cancer can lead to significant functional and esthetic defects. Main methods of reconstruction can be divided into groups of local and free flaps. There are lots of publications devoted to reconstruction of defects of oral cavity with the use of local and free flaps, but only few of them contain the comparison of these methods in the aspect of functional results.
Materials and methods. A total of 58 patients with oral cancer were included in our study. All patients received surgical treatment with one-time reconstruction of defect. In 34 cases we used free radial flap and in 24 – submental local flap.
Results. The use of submental flap has advantages in the intraoperative time, time of recovery, functional results, with the same locoregional control.
Conclusions. We suggest submental local flap and radial free flap to be the method of choice in reconstruction of mucosa and soft tissues defects in patients with primary and recurrent oral cancer.
About the Authors
M. A. Kropotov
The Loginov Moscow Clinical Scientific Center.
Russian Federation
Russian Federation
Mikhail A. Kropotov, MD, DSc Med, Leading Researcher, Department of Head and Neck Tumors.
Moscow.
V. A. Sobolevskiy
N. N. Blokhin Russian Cancer Research Center.
Russian Federation
Russian Federation
Vladimir A. Sobolevskiy, MD, DSc Med, Head of the Department of Reconstructive and Plastic Surgery.
Moscow.
A. A. Lysov
N. N. Blokhin Russian Cancer Research Center.
Russian Federation
Russian Federation
Andrey A. Lysov, MD, Department of Cranio-Maxillofacial Surgery.
Moscow.
L. P. Yakovleva
The Loginov Moscow Clinical Scientific Center.
Russian Federation
Russian Federation
Liliya P. Yakovleva, MD, PhD Med, Head of the Department of Head and Neck Tumors.
Moscow.
A. V. Khodos
The Loginov Moscow Clinical Scientific Center.
Russian Federation
Russian Federation
Artem V. Khodos, MD, Department of Head and Neck Tumors.
Moscow.
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Review
For citations:
Kropotov M.A., Sobolevskiy V.A., Lysov A.A., Yakovleva L.P., Khodos A.V. THE USE OF SUBMENTAL LOCAL FLAP AND RADIAL FREE FLAP FOR THE RECONSTRUCTION OF DEFECTS IN PATIENTS WITH ORAL CANCER. Malignant tumours. 2018;8(3):39-48. (In Russ.) https://doi.org/10.18027/2224-5057-2018-8-3-39-48
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