Innovative Reconstruction Techniques for Extensive Head and Neck Tumors

Ullyanov Bezerra Toscano Mendonça; Bernardo Correia Lima; Ricardo Grillo; Leonardo Augustus Peral Ferreira Pinto

doi:10.58600/eurjther2001

Authors

Ullyanov Bezerra Toscano Mendonça Division of Head and Neck Surgery, Department of Otorhinolaryngology, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil https://orcid.org/0000-0002-6171-6710
Bernardo Correia Lima Department of Oral Diagnosis, Dental Radiology and Imaginology, Dental School of University of São Paulo, São Paulo – SP, Brazil https://orcid.org/0000-0003-4784-3120
Ricardo Grillo Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis, Dental School of University of São Paulo, São Paulo - SP, Brazil. https://orcid.org/0000-0002-8096-738X
Leonardo Augustus Peral Ferreira Pinto Department of Oral Surgery, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil https://orcid.org/0000-0002-2994-0288

DOI:

https://doi.org/10.58600/eurjther2001

Keywords:

Temporomandibular joint disorders, local flaps, replacement, , oral cancer, head and neck cancer, accessory muscle, clinical anatomy, lateral neck region, neck surgery, variation

Abstract

In the challenging landscape of malignant head and neck tumors, surgeons grapple with intricate obstacles to achieve effective reconstruction. When facing extensive involvement of soft and bone tissue, reestablishing acceptable aesthetics and function to patients should always be focused on restoring both form and function, we encountered a compelling case—a significant squamous cell carcinoma deeply rooted in the anterior mandibular region, necessitating substantial soft tissue and bone resection. Our innovative approach involved a carefully tailored extended prosthesis designed for the mandible and its temporomandibular joint, accompanied by a skillfully deployed deltopectoral myocutaneous flap. This surgical intervention successfully brought about the triumphant resurgence of reconstruction of mandibular function, marking a state of disease-free well-being for the patient. This narrative unfolds at the forefront of transformative reconstruction, where the synergy of innovation and expertise redefines the narrative, showcasing victory over adversity in the intricate realm of head and neck tumor surgery.

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