Innovative Reconstruction Techniques for Extensive Head and Neck Tumors


Abstract views: 87 / PDF downloads: 106

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.

Metrics

Metrics Loading ...

References

Shah JP, Patel SG, Singh B. Chap. 15: Reconstructive Surgery. In: Head and Neck Surgery. 4th Ed., Mosby, 2012.

Hwang K. The Origins of Deltopectoral Flaps and the Pectoralis Major Myocutaneous Flap. J Craniofac Surg. 2016. 27(7):1845-1848. https://doi.org/10.1097/SCS.0000000000003057

Aldelaimi TN, Khalil AA. Reconstruction of Facial Defect Using Deltopectoral Flap. J Craniofac Surg. 2015. 26(8):e786-8 https://doi.org/10.1097/SCS.0000000000002056

Abrar Y, Muntaha ST, Khan K, Hameed U. Successful Use of Deltopectoral Flap in Reconstruction of Defect Caused by Squamous Cell Carcinoma. J Coll Physicians Surg Pak. 2018. 28(6): S125-S127. https://doi.org/10.29271/jcpsp.2018.06.S125

Elledge ROC, Higginson J, Mercuri LG, Speculand B. Validation of an extended total joint replacement (eTJR) classification system for the temporomandibular joint (TMJ). Br J Oral Maxillofac Surg. 2021. 59(7):788-791 https://doi.org/10.1016/j.bjoms.2020.10.020

Lee WB, Choi WH, Lee HG, Choi NR, Hwang DS, Kim UK. Mandibular reconstruction with a ready-made type and a custom-made type titanium mesh after mandibular resection in patients with oral cancer. Maxillofac Plast Reconstr Surg. 2018. 25;40(1):35. https://doi.org/10.1186/s40902-018-0175-z

Sekhar MR, Patil BR, Krishnamurthy B, Rao CB, Gopalkrishna K. Soft tissue reconstruction after hemimandibulectomy in oral malignancies: a retrospective study. J Maxillofac Oral Surg. 2012. 11(1):72-7. https://doi.org/10.1007/s12663-011-0272-3

Huang MF, Alfi D, Alfi J, Huang AT. The Use of Patient-Specific Implants in Oral and Maxillofacial Surgery. Oral Maxillofac Surg Clin North Am. 2019. 31(4):593-600. https://doi.org/10.1016/j.coms.2019.07.010

Voss PJ, Steybe D, Fuessinger MA, Semper-Hogg W, Metzger M, Schmelzeisen R, Poxleitner P. Vascularized scapula and latissimus dorsi flap for CAD/CAM assisted reconstruction of mandibular defects including the mandibular condyle: technical report and clinical results. BMC Surg. 2019. 26;19(1):67. https://doi.org/10.1186/s12893-019-0535-3

Bredell M, Grätz K, Obwegeser J, Gujer AK. Management of the temporomandibular joint after ablative surgery. Craniomaxillofac Trauma Reconstr. 2014. 7(4):271-9. https://doi.org/10.1055/s-0034-1378181

Downloads

Published

2024-03-02

How to Cite

Bezerra Toscano Mendonça, U., Correia Lima, B., Grillo, R., & Peral Ferreira Pinto, L. A. (2024). Innovative Reconstruction Techniques for Extensive Head and Neck Tumors. European Journal of Therapeutics. https://doi.org/10.58600/eurjther2001

Issue

Section

Letter to the Editor

Categories