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Article

Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review

  • Authors:
    • Pedro Infante‑Cossio
    • Eduardo Gonzalez‑Cardero
    • Ricardo Lopez‑Martos
    • Victoria Nuñez‑Vera
    • Erika Olmos‑Juarez
    • Alejandro Ruiz‑Moya
    • Juan‑Jose Haro‑Luna
    • Eusebio Torres‑Carrranza
  • View Affiliations / Copyright

    Affiliations: Department of Oral and Maxillofacial Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain, Department of Plastic and Reconstructive Surgery, Virgen Del Rocío University Hospital, University of Seville, Seville, Seville 41013, Spain, Department of Oral and Maxillofacial Surgery, Santa Lucía Hospital, Cartagena, Murcia 30202, Spain
  • Pages: 3493-3500
    |
    Published online on: April 7, 2016
       https://doi.org/10.3892/ol.2016.4429
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Abstract

The present study aimed to describe the techniques used and the results obtained with the infrahyoid flap for the reconstruction of medium‑sized oropharyngeal defects following resection for advanced squamous cell cancer. During a period of 1 year, six patients with oropharyngeal defects were reconstructed using the infrahyoid flap. The tumor characteristics, location and size of the defect, resective and reconstructive techniques employed and the complications and outcomes of the speech and swallowing functions, as identified in the follow‑up visits every 3 months, were evaluated. All flaps were performed simultaneously in association with tumoral excision and ipsilateral supraomohyoid neck dissection. The mean size of the skin paddle was 7.0x3.5 cm. The donor site was primarily sutured. The postoperative course was uneventful and all flaps were viable. One case of marginal skin paddle loss occurred without affecting the survival of the flap. Five patients received postoperative radiotherapy and one patient received concurrent postoperative chemotherapy. During the follow‑up period (mean, 63 months), all patients showed excellent oral swallowing. Speech was excellent in five patients and in one patient speech was classified as good. The aesthetic results of the cervical donor site were good. Based on the present case report and the literature review, the infrahyoid flap is a simple and safe procedure for the reconstruction of the oropharynx, with a high success rate, minimal donor site morbidity and good aesthetic and functional results. The infrahyoid flap is a valid surgical option that may be considered in selected oncological patients undergoing reconstruction of medium-size oropharyngeal defects.
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Copy and paste a formatted citation
Spandidos Publications style
Infante‑Cossio P, Gonzalez‑Cardero E, Lopez‑Martos R, Nuñez‑Vera V, Olmos‑Juarez E, Ruiz‑Moya A, Haro‑Luna JJ and Torres‑Carrranza E: Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review. Oncol Lett 11: 3493-3500, 2016.
APA
Infante‑Cossio, P., Gonzalez‑Cardero, E., Lopez‑Martos, R., Nuñez‑Vera, V., Olmos‑Juarez, E., Ruiz‑Moya, A. ... Torres‑Carrranza, E. (2016). Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review. Oncology Letters, 11, 3493-3500. https://doi.org/10.3892/ol.2016.4429
MLA
Infante‑Cossio, P., Gonzalez‑Cardero, E., Lopez‑Martos, R., Nuñez‑Vera, V., Olmos‑Juarez, E., Ruiz‑Moya, A., Haro‑Luna, J., Torres‑Carrranza, E."Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review". Oncology Letters 11.5 (2016): 3493-3500.
Chicago
Infante‑Cossio, P., Gonzalez‑Cardero, E., Lopez‑Martos, R., Nuñez‑Vera, V., Olmos‑Juarez, E., Ruiz‑Moya, A., Haro‑Luna, J., Torres‑Carrranza, E."Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review". Oncology Letters 11, no. 5 (2016): 3493-3500. https://doi.org/10.3892/ol.2016.4429
Copy and paste a formatted citation
x
Spandidos Publications style
Infante‑Cossio P, Gonzalez‑Cardero E, Lopez‑Martos R, Nuñez‑Vera V, Olmos‑Juarez E, Ruiz‑Moya A, Haro‑Luna JJ and Torres‑Carrranza E: Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review. Oncol Lett 11: 3493-3500, 2016.
APA
Infante‑Cossio, P., Gonzalez‑Cardero, E., Lopez‑Martos, R., Nuñez‑Vera, V., Olmos‑Juarez, E., Ruiz‑Moya, A. ... Torres‑Carrranza, E. (2016). Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review. Oncology Letters, 11, 3493-3500. https://doi.org/10.3892/ol.2016.4429
MLA
Infante‑Cossio, P., Gonzalez‑Cardero, E., Lopez‑Martos, R., Nuñez‑Vera, V., Olmos‑Juarez, E., Ruiz‑Moya, A., Haro‑Luna, J., Torres‑Carrranza, E."Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review". Oncology Letters 11.5 (2016): 3493-3500.
Chicago
Infante‑Cossio, P., Gonzalez‑Cardero, E., Lopez‑Martos, R., Nuñez‑Vera, V., Olmos‑Juarez, E., Ruiz‑Moya, A., Haro‑Luna, J., Torres‑Carrranza, E."Infrahyoid flap in oropharyngeal reconstruction following carcinoma resection: A study of 6 patients and literature review". Oncology Letters 11, no. 5 (2016): 3493-3500. https://doi.org/10.3892/ol.2016.4429
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