EXPORT CITATION

Chapter-094 Reconstruction after Resection of Head and Neck Cancers

BOOK TITLE: Head & Neck Surgery (2 Volumes)

Author
1. Izzard Mark
2. Morton Randall P
ISBN
9788184486797
DOI
10.5005/jp/books/10351_94
Edition
1/e
Publishing Year
2009
Pages
16
Author Affiliations
1. Counties-Manukau DHB, New Zealand
2. University of Auckland; Counties-Manukau DHB, New Zealand, Counties-Manukau Health, University of Auckland, Auckland, New Zealand, University of Auckland, Counties-Manukau DHB, New Zealand
Chapter keywords
microvascular flaps, radiotherapy, hemiglossectomy, epigastric vessels, palatal defects, periumbilical perforators, reconstructive surgery, neurovascular pedicles, interosseous membrane, mandibular reconstruction, hematoma, postoperative hernia, anastomosis, transposition flaps, laryngopharyngeal reconstruction, temporal bone defects

Abstract

This chapter discusses reconstruction after resection of head and neck cancers, where reconstruction after surgery for head and neck malignancy presents a challenge because the defects resulting from tumor resection can lead to major functional deficit and severe cosmetic deformity. Patients undergoing free flap repair must be kept warm and well hydrated. Skin paddles are designed as required by the defect. In the head and neck the flap is useful for large defect obturation. Most serious complications are due to vascular compromise, in the form of extraluminal compression or intraluminal thrombosis, secondary to trauma, poor operative technique or infection. Both the donor site and recipient site should be checked regularly for signs of hematoma, infection and vascular compromise. Very large neck defects may be closed with a pedicled latissimus dorsi flap. Large composite defects usually require free tissue transfer. For very large defects of the lips adjacent cheek flaps are required, using transposition and advancement techniques.

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved