Capabilities of delayed microsurgical reconstruction in patients with squamous cell carcinoma of the buccal mucosa: clinical case
https://doi.org/10.17650/2222-1468-2023-13-2-79-84
Abstract
Surgical treatment of patients with locally advanced squamous cell carcinoma of the oral mucosa is a complicated problem requiring maximal surgical radicality and, at the same time, single-stage reconstruction to preserve organ function and achieve acceptable esthetic results. One of modern reconstruction techniques is the use of free flaps. Application of this technique requires microsurgical skills from the surgeon. unfortunately, it is not always possible to achieve the result after single-stage postoperative defect closure. Sometimes unforeseen complications are observed: necrosis of the moved flaps, formation of large postoperative defects, orostomas, pharyngostomas. In such cases, oncologists face a more complicated problem: defect reconstruction in the conditions of pronounced scarring process in the intervention area, development of post-radiation fibrosis and soft tissue edema.
The presented clinical case demonstrates the capabilities of repeat microsurgical reconstruction in patients with orostoma developed after unsuccessful primary reconstruction.
About the Authors
A. O. Guz
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
Alexander Olegovich Guz
42 Bluhera St., Chelyabinsk 454087
A. V. Garev
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
42 Bluhera St., Chelyabinsk 454087
D. M. Fatkullin
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
42 Bluhera St., Chelyabinsk 454087
A. S. Zaharov
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
42 Bluhera St., Chelyabinsk 454087
M. I. Sokolova
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
42 Bluhera St., Chelyabinsk 454087
References
1. The state of oncological care to the population of Russia in 2021. Ed. by A.D. Kaprin, V.V. Starinsky, G.V. Petrova. Moscow: P.A. Herzen Moscow State Medical Research Institute – branch of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of Russia, 2022. (In Russ.).
2. Musin S.I., Sultanbayev A.V., Menshikov K.V. et al. Surgical stage in sequential therapy of unresectable oral cancer T3–4bN0–3M0: evaluation of treatment results. Opukholi golovy i shei = Head and Neck Tumors 2021;11(4):41–9. (In Russ.). DOI: 10.17650/2222-1468-2021-11-4-41-49
3. Rudyk A.N., Busygin M.A., Khamidullin R.G. et al. Experience in the application of 3D imaging and printing technologies in clinical practice in the reconstruction of mandibular defects in malignant neoplasms. Povolzhskij onkologicheskij vestnik = Volga Oncological Bulletin 2017;4:25–9. (In Russ.).
4. Gilbert R.W. Reconstruction of the oral cavity; past, present and future. Oral Oncol 2020;108:104683. DOI: 10.1016/j.oraloncology.2020.104683
5. Genden E.M., Rinaldo A., Suárez C. et al. Complications of free flap transfers for head and neck reconstruction following cancer resection. Oral Oncol 2004;40(10):979–84. DOI: 10.1016/j.oraloncology.2004.01.012
6. Iyer S., Ramu J., Krishnadas A. Secondary reconstruction of head and neck cancer defects – principles in its practice. J Maxillofacial Oral Surg 2023:22(Suppl. 1):1–9. DOI: 10.1007/s12663-023-01875-x
Review
For citations:
Guz A.O., Garev A.V., Fatkullin D.M., Zaharov A.S., Sokolova M.I. Capabilities of delayed microsurgical reconstruction in patients with squamous cell carcinoma of the buccal mucosa: clinical case. Head and Neck Tumors (HNT). 2023;13(2):79-84. (In Russ.) https://doi.org/10.17650/2222-1468-2023-13-2-79-84
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