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APPLICATION OF PEDICLED MUSCULOCUTANEOUS FLAPS IN DEFECT RECONSTRUCTION AFTER SURGERY OF ORAL CANCER AT HUE CENTRAL HOSPITAL
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Abstract
Background: Carcinoma of the oral cavity is one of the most common cancers of the head and neck system. Due to anatomical characteristics, surgery could lead to defects. The application of reconstructive surgery is extremely necessary, helping to expand the indications for surgery, restore defects, and provide a better chance for patients to live. Objective: To evaluate the results of application of pedicled musculocutaneous flaps in defect reconstruction after surgery of oral cancer at Hue Central Hospital. Materials and methods: A prospective, clinical interventional descriptive study on 34 oral squamous cell carcinoma patients operated at Hue Central Hospital from March 2020 to December 2022. Results: 34 pedicled musculocutaneous flaps were used in defect reconstruction after surgery of oral cancer. Four types of flaps were use, in which the temporalis fascia flap was used for 3 cases (8.8%), the temporalis myofascial flap was used for 6 cases (17.6%), the submandibular fascia flap was used for 15 cases (44.1%) and the pectoralis major myocutaneous one was used for 10 cases (29.5%). The results of the study showed that 100% of flaps were good. There were no serious complications after surgery. Good function recovery and low recurrence rate were recorded after surgery. Conclusion: Using flexible pedicled musculocutaneous flaps is a suitable choice for moderate and large defects after surgery along with major organ reconstruction to preserve vital function and morphology of the oral cavity for cancer patients.
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Keywords
Oral cancer, temporalis myofascial flap, submandibular flaps, pectoralis major myocutaneous flaps
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