A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY
Background. Combination therapy is the main method used for treatment of patients with locally advanced cancer of the oral floor and tongue. Radical surgery is a key stage of this therapy. These surgeries are inevitably associated with extensive defects in the oral cavity and tongue and, therefore,...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
ABV-press
2017-11-01
|
| Series: | Опухоли головы и шеи |
| Subjects: | |
| Online Access: | https://ogsh.abvpress.ru/jour/article/view/284 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850024111671083008 |
|---|---|
| author | A. P. Polyakov A. D. Kaprin M. V. Ratushnyy O. V. Matorin I. V. Rebrikova M. M. Filyushin A. V. Mordovskiy P. A. Nikiforovich |
| author_facet | A. P. Polyakov A. D. Kaprin M. V. Ratushnyy O. V. Matorin I. V. Rebrikova M. M. Filyushin A. V. Mordovskiy P. A. Nikiforovich |
| author_sort | A. P. Polyakov |
| collection | DOAJ |
| description | Background. Combination therapy is the main method used for treatment of patients with locally advanced cancer of the oral floor and tongue. Radical surgery is a key stage of this therapy. These surgeries are inevitably associated with extensive defects in the oral cavity and tongue and, therefore, the loss of necessary organism functions. Currently, there is no optimal autotransplant for tongue reconstruction after total or subtotal removal of the tongue and oral floor muscles; it appears to be one of the most significant challenges in modern reconstructive surgery.Materials and methods. The authors describe a case of successful repair of the oral floor and tongue after total glossectomy using a novel method developed in the Department of Microsurgery at the P. A. Herzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia. This method implies tongue reconstruction using a revascularized, reinnerved, chimeric, thoracodorsal flap with inclusion of a muscular portion from the serratus anterior muscle and a musculocutaneous portion from the latissimus dorsi muscle. We performed tongue reconstruction in a 62-year-old patient diagnosed with stage IVA (Т3N2bМ0) tongue cancer. Results. The novel method of surgical treatment of locally advanced tongue cancer with simultaneous repair of defects using a revascularized, reinnerved, chimeric flap with inclusion of the serratus anterior muscle and latissimus dorsi muscle allowed to remove the tumor, stabilize the laryngeal complex, restore the diaphragm of the oral floor, create an adequate volume of neotongue, obtain good functional and cosmetic results, and reduce the length of hospital stay. Conclusion. Novel method of surgical treatment of locally advanced tongue cancer facilitates health, employment, and social rehabilitation of patients with oropharyngeal cancer. This method can be considered as an alternative method of choice in the reconstruction of complex post-traumatic oropharyngeal defects. |
| format | Article |
| id | doaj-art-29c9adb8bb7e4ebf8b49fe087014d5b4 |
| institution | DOAJ |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| publishDate | 2017-11-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj-art-29c9adb8bb7e4ebf8b49fe087014d5b42025-08-20T03:01:12ZrusABV-pressОпухоли головы и шеи2222-14682411-46342017-11-0173121810.17650/2222-1468-2017-7-3-572-577257A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMYA. P. Polyakov0A. D. Kaprin1M. V. Ratushnyy2O. V. Matorin3I. V. Rebrikova4M. M. Filyushin5A. V. Mordovskiy6P. A. Nikiforovich7P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia; Department of Oncology and Radiotherapy, I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.Background. Combination therapy is the main method used for treatment of patients with locally advanced cancer of the oral floor and tongue. Radical surgery is a key stage of this therapy. These surgeries are inevitably associated with extensive defects in the oral cavity and tongue and, therefore, the loss of necessary organism functions. Currently, there is no optimal autotransplant for tongue reconstruction after total or subtotal removal of the tongue and oral floor muscles; it appears to be one of the most significant challenges in modern reconstructive surgery.Materials and methods. The authors describe a case of successful repair of the oral floor and tongue after total glossectomy using a novel method developed in the Department of Microsurgery at the P. A. Herzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia. This method implies tongue reconstruction using a revascularized, reinnerved, chimeric, thoracodorsal flap with inclusion of a muscular portion from the serratus anterior muscle and a musculocutaneous portion from the latissimus dorsi muscle. We performed tongue reconstruction in a 62-year-old patient diagnosed with stage IVA (Т3N2bМ0) tongue cancer. Results. The novel method of surgical treatment of locally advanced tongue cancer with simultaneous repair of defects using a revascularized, reinnerved, chimeric flap with inclusion of the serratus anterior muscle and latissimus dorsi muscle allowed to remove the tumor, stabilize the laryngeal complex, restore the diaphragm of the oral floor, create an adequate volume of neotongue, obtain good functional and cosmetic results, and reduce the length of hospital stay. Conclusion. Novel method of surgical treatment of locally advanced tongue cancer facilitates health, employment, and social rehabilitation of patients with oropharyngeal cancer. This method can be considered as an alternative method of choice in the reconstruction of complex post-traumatic oropharyngeal defects.https://ogsh.abvpress.ru/jour/article/view/284tongue cancerglossectomyreconstructionchimeric flapneotonguehyoid bone |
| spellingShingle | A. P. Polyakov A. D. Kaprin M. V. Ratushnyy O. V. Matorin I. V. Rebrikova M. M. Filyushin A. V. Mordovskiy P. A. Nikiforovich A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY Опухоли головы и шеи tongue cancer glossectomy reconstruction chimeric flap neotongue hyoid bone |
| title | A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY |
| title_full | A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY |
| title_fullStr | A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY |
| title_full_unstemmed | A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY |
| title_short | A METHOD FOR RESTORING ORAL CAVITY AND TONGUE USING A COMPOSITE, FREE, CHIMERIC, REVASCULARIZED, REINNERVED, MUSCULOCUTANEOUS FLAP AFTER TOTAL GLOSSECTOMY |
| title_sort | method for restoring oral cavity and tongue using a composite free chimeric revascularized reinnerved musculocutaneous flap after total glossectomy |
| topic | tongue cancer glossectomy reconstruction chimeric flap neotongue hyoid bone |
| url | https://ogsh.abvpress.ru/jour/article/view/284 |
| work_keys_str_mv | AT appolyakov amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT adkaprin amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT mvratushnyy amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT ovmatorin amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT ivrebrikova amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT mmfilyushin amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT avmordovskiy amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT panikiforovich amethodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT appolyakov methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT adkaprin methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT mvratushnyy methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT ovmatorin methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT ivrebrikova methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT mmfilyushin methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT avmordovskiy methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy AT panikiforovich methodforrestoringoralcavityandtongueusingacompositefreechimericrevascularizedreinnervedmusculocutaneousflapaftertotalglossectomy |