Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction

Background Transoral robotic surgery (TORS) is an effective approach for select salvage oropharyngeal resections. Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well‐suited...

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Veröffentlicht in:Head & neck 2021-02, Vol.43 (2), p.E13-E19
Hauptverfasser: Holcomb, Andrew J., Richmon, Jeremy D.
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Richmon, Jeremy D.
description Background Transoral robotic surgery (TORS) is an effective approach for select salvage oropharyngeal resections. Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well‐suited to this reconstruction. Design/Method Two patients presented with recurrent oropharyngeal tumors after chemoradiation. Each tumor was resected using TORS, and the SAIF was utilized for reconstruction. Flap inset was completed using TORS in one case. Results Both patients experienced uneventful recovery free from bleeding events or fistula formation and experienced no partial flap loss or donor site complications. Conclusions The SAIF is a simple reconstructive option for TORS defects that may be inset using robotic assistance and avoids the need for free tissue transfer.
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Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well‐suited to this reconstruction. Design/Method Two patients presented with recurrent oropharyngeal tumors after chemoradiation. Each tumor was resected using TORS, and the SAIF was utilized for reconstruction. Flap inset was completed using TORS in one case. Results Both patients experienced uneventful recovery free from bleeding events or fistula formation and experienced no partial flap loss or donor site complications. Conclusions The SAIF is a simple reconstructive option for TORS defects that may be inset using robotic assistance and avoids the need for free tissue transfer.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.26543</identifier><identifier>PMID: 33210351</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Chemoradiotherapy ; Head &amp; neck cancer ; Head and neck ; oropharyngeal cancer ; oropharyngeal reconstruction ; robotic reconstruction ; Robotic surgery ; submental flap ; Throat cancer ; transoral robotic surgery ; Tumors</subject><ispartof>Head &amp; neck, 2021-02, Vol.43 (2), p.E13-E19</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3203-3bb8e48a5b31b253c5e409df85bc0e74c315fcc51139aace879d2b69bf659f5b3</citedby><cites>FETCH-LOGICAL-c3203-3bb8e48a5b31b253c5e409df85bc0e74c315fcc51139aace879d2b69bf659f5b3</cites><orcidid>0000-0001-8397-2312</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.26543$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.26543$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33210351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holcomb, Andrew J.</creatorcontrib><creatorcontrib>Richmon, Jeremy D.</creatorcontrib><title>Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background Transoral robotic surgery (TORS) is an effective approach for select salvage oropharyngeal resections. Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well‐suited to this reconstruction. Design/Method Two patients presented with recurrent oropharyngeal tumors after chemoradiation. Each tumor was resected using TORS, and the SAIF was utilized for reconstruction. Flap inset was completed using TORS in one case. Results Both patients experienced uneventful recovery free from bleeding events or fistula formation and experienced no partial flap loss or donor site complications. 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subjects Chemoradiotherapy
Head & neck cancer
Head and neck
oropharyngeal cancer
oropharyngeal reconstruction
robotic reconstruction
Robotic surgery
submental flap
Throat cancer
transoral robotic surgery
Tumors
title Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction
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