• Cir Cir · May 2008

    Case Reports

    [Reconstruction of the floor of the mouth with double free flap: report of three cases].

    • Kuauhyama Luna-Ortiz, Tania Carmona-Luna, Angel Herrera-Gómez, Philippe Pasche, and Bertrand Jaques.
    • Departamento de Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Av. San Fernando 22, México, D.F., Mexico. kuauhyama@starmedia.com
    • Cir Cir. 2008 May 1; 76 (3): 247-52.

    BackgroundWe undertook this study to describe three cases of reconstruction of the floor of the mouth with two simultaneous free flaps.MethodsThree patients with cancer of the anterior floor of the mouth were subjected to segmental resection of the mandible and resection of the floor of the mouth with subsequent reconstruction using two simultaneous osseous and fasciocutaneous free flaps.ResultsAll patients had a satisfactory evolution. Two patients underwent adjuvant radiotherapy, one due to the initial clinical stage and the other due to positive surgical margins. The third patient had neoadjuvant postoperative radiotherapy and concomitant chemoradiotherapy.ConclusionsIf a tumor involves osseous structures of the anterior floor of the mouth, it is best to perform surgery with wide margins with segmental resection of the mandible. Surgical technique is the decision of the surgeon: how many and which types of flaps will be used for reconstruction of the anterior floor of mouth. When there is necrosis of a free flap in the head and neck region, attempt with another free flap is recommended.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…