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Pectoral and trapezoidal flaps for reconstruction of full-thickness post-resection defect in combination treatment of locally advanced buccal cancer
- Authors: Sikorsky D.V.1, Podvyaznikov S.О.2, Volodin A.N.1, Bazanov K.V.1, Molkova E.A.1, Kopeykina M.I.1, Egorov A.A.1, Kurochkina M.A.3
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Affiliations:
- Nizhny Novgorod Regional Clinical Oncologic Dispensary
- Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
- Privolzhskiy Research Medical University
- Issue: Vol 9, No 1 (2019)
- Pages: 28-37
- Section: DIAGNOSIS AND TREATMENT OF HEAD AND NECK TUMORS
- Published: 02.04.2019
- URL: https://ogsh.abvpress.ru/jour/article/view/386
- DOI: https://doi.org/10.17650/2222-1468-2019-9-1-28-37
- ID: 386
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Abstract
The study objective is to compare short-term results of reconstruction of a full-thickness defect of the cheek using pectoral and trapezoidal flaps.
Materials and methods. Examination and treatment of 21 patients with locally advanced buccal cancer were performed at the Nizhny Novgorod Regional Clinical Oncologic Dispensary in 2007–2018.
Results. Flap necrosis developed in 7 (33 %) patients: in 3 patients total, in 4 – marginal. No postoperative mortality was observed. For pectoral flap reconstruction, necrosis was observed in 2 cases (marginal necrosis of the skin graft). For trapezoidal flap buccal reconstruction, necrosis was observed in 5 patients (total in 3, marginal in 2).
Conclusion. Use of a trapezoidal flap is limited due to its anatomical characteristics and is associated with higher rate of necrosis despite better esthetic characteristics compared to a pectoral flap. Despite its larger volume compared to trapezoidal flap, pectoral flap has better blood supply which leads to low rate of necrosis.
About the authors
D. V. Sikorsky
Nizhny Novgorod Regional Clinical Oncologic Dispensary
Email: sikorski-d@mail.ru
ORCID iD: 0000-0002-5475-1219
11/1 Delovaya St., Nizhniy Novgorod 603126. Russian Federation
S. О. Podvyaznikov
Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Email: fake@neicon.ru
ORCID iD: 0000-0003-1341-0765
Bld. 1, 2/1 Barrikadnaya St., Moscow 125993. Russian Federation
A. N. Volodin
Nizhny Novgorod Regional Clinical Oncologic Dispensary
Email: fake@neicon.ru
ORCID iD: 0000-0001-9559-0477
11/1 Delovaya St., Nizhniy Novgorod 603126. Russian Federation
K. V. Bazanov
Nizhny Novgorod Regional Clinical Oncologic Dispensary
Author for correspondence.
Email: fake@neicon.ru
ORCID iD: 0000-0001-5932-282X
11/1 Delovaya St., Nizhniy Novgorod 603126. Russian Federation
E. A. Molkova
Nizhny Novgorod Regional Clinical Oncologic Dispensary
Email: fake@neicon.ru
ORCID iD: 0000-0002-4267-6573
11/1 Delovaya St., Nizhniy Novgorod 603126. Russian Federation
M. I. Kopeykina
Nizhny Novgorod Regional Clinical Oncologic Dispensary
Email: fake@neicon.ru
ORCID iD: 0000-0003-4850-6839
11/1 Delovaya St., Nizhniy Novgorod 603126. Russian Federation
A. A. Egorov
Nizhny Novgorod Regional Clinical Oncologic Dispensary
Email: fake@neicon.ru
ORCID iD: 0000-0003-1010-0083
11/1 Delovaya St., Nizhniy Novgorod 603126. Russian Federation
M. A. Kurochkina
Privolzhskiy Research Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0002-4551-0261
10/1 Minin & Pozharsky Sq., Nizhny Novgorod 603950.
Russian FederationReferences
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