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 |
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creator | Holcomb, Andrew J. 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. |
doi_str_mv | 10.1002/hed.26543 |
format | Article |
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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.</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 & Sons, Inc</publisher><subject>Chemoradiotherapy ; Head & neck cancer ; Head and neck ; oropharyngeal cancer ; oropharyngeal reconstruction ; robotic reconstruction ; Robotic surgery ; submental flap ; Throat cancer ; transoral robotic surgery ; Tumors</subject><ispartof>Head & 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 & 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.
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><subject>Chemoradiotherapy</subject><subject>Head & neck cancer</subject><subject>Head and neck</subject><subject>oropharyngeal cancer</subject><subject>oropharyngeal reconstruction</subject><subject>robotic reconstruction</subject><subject>Robotic surgery</subject><subject>submental flap</subject><subject>Throat cancer</subject><subject>transoral robotic surgery</subject><subject>Tumors</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kD1PwzAQhi0EoqUw8AeQJSaGtP7Mx4hKoUiVWMrEYNmO06ZK42AnVPn3uKSwMd0Nz7139wBwi9EUI0RmW5NPScwZPQNjjLIkQpQl58ee0YiihI3Alfc7hBCNGbkEI0oJRpTjMfhYO1l762QFnVW2LTX0svqSGwOts81Wur7eGN3afQ8PZbuFvlN7U7eBl641roelr2Sdw6KSDXRG29q3rtNtaetrcFHIypubU52A9-fFer6MVm8vr_PHVaQpQeFApVLDUskVxYpwqrlhKMuLlCuNTMI0xbzQmmNMMym1SZMsJyrOVBHzrAhTE3A_5DbOfnbGt2JnO1eHlYKwJGZZmsQkUA8DpZ313plCNK7ch_8ERuKoUQSN4kdjYO9Oicdv8z_y11sAZgNwKCvT_58klounIfIbKvV93Q</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Holcomb, Andrew J.</creator><creator>Richmon, Jeremy D.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0001-8397-2312</orcidid></search><sort><creationdate>202102</creationdate><title>Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction</title><author>Holcomb, Andrew J. ; Richmon, Jeremy D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3203-3bb8e48a5b31b253c5e409df85bc0e74c315fcc51139aace879d2b69bf659f5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Chemoradiotherapy</topic><topic>Head & neck cancer</topic><topic>Head and neck</topic><topic>oropharyngeal cancer</topic><topic>oropharyngeal reconstruction</topic><topic>robotic reconstruction</topic><topic>Robotic surgery</topic><topic>submental flap</topic><topic>Throat cancer</topic><topic>transoral robotic surgery</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holcomb, Andrew J.</creatorcontrib><creatorcontrib>Richmon, Jeremy D.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holcomb, Andrew J.</au><au>Richmon, Jeremy D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2021-02</date><risdate>2021</risdate><volume>43</volume><issue>2</issue><spage>E13</spage><epage>E19</epage><pages>E13-E19</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>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.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33210351</pmid><doi>10.1002/hed.26543</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8397-2312</orcidid></addata></record> |
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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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