[PLASTIC CLOSURE OF THE WOUND DEFECT IN PATIENTS, SUFFERING THE ORAL AND ORO-PHARYNGEAL CANCER STAGES ІІІ - ІV]

Area of Science:

• Oncology
• Surgical Reconstruction
• Head and Neck Cancer

Background:

• Locally-advanced oral and oropharyngeal cancers often require wide tissue excision.
• Post-excision defects can be too large for simple closure.
• Reconstructive surgery is crucial for restoring function and form.

Purpose of the Study:

• To analyze treatment results for 124 patients with locally-advanced oral and oropharyngeal cancer.
• To evaluate the effectiveness of primary plasty using flap reconstruction for large defects.
• To determine principles for defect repair in complex cases.

Main Methods:

• Analysis of treatment outcomes in 124 patients.
• Surgical reconstruction using musculocutaneous or adipocutaneous flaps.
• Focus on defects resulting from wide tissue excision, including floor of mouth and mandible resection.

Main Results:

• Primary plasty with flap reconstruction was performed on patients with defects unsuitable for simple suturing.
• Defects involving the oral cavity floor and anterior mandibular fragment presented the most complex reconstructive challenges.
• Key principles for defect plasty were identified.

Conclusions:

• Flap reconstruction is a viable method for managing large defects after cancer resection.
• The choice of reconstructive material should be tailored to the specific clinical scenario.
• Effective reconstruction is essential for successful treatment of advanced oral and oropharyngeal cancer.