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[The transverse cervical flap. Indications and results]
Revista De Chirurgie, Oncologie, Radiologie, O. R. L., Oftalmologie, Stomatologie. Seria: Stomatologie
|October 1, 1988
Summary
The transverse cervical regional flap is effective for reconstructing facial defects after cancer surgery, offering good to excellent results in most cases. While generally successful, potential flap necrosis requires careful consideration for this reconstructive technique.
Area of Science:
- Reconstructive surgery
- Head and neck oncology
- Plastic surgery
Background:
- The transverse cervical regional flap is a reconstructive option for head and neck defects.
- Defects often occur after oncologic exeresis, particularly in the chin, parotid, ear, and buccal regions.
- A reduced biological background can complicate reconstruction.
Observation:
- The flap was utilized in seven patients with diverse defects.
- Indications included five carcinomas, one avulsive facial wound, and one chin scar.
- The study evaluated the flap's efficacy in challenging anatomical locations.
Findings:
- Excellent outcomes were achieved in four cases (57%).
- Good results were observed in two cases (29%).
- One case (14%) experienced partial flap necrosis, highlighting a potential limitation.
Implications:
- This study contributes valuable clinical data on the transverse cervical regional flap.
- It clarifies the method's indications and limitations in head and neck reconstruction.
- Further research may optimize patient selection and surgical technique to minimize complications.