Primary reconstruction by modified cervical island skin flap following resection of oral and pharyngeal cancer

• Published in: Archives of oto-rhino-laryngology Vol. 221; no. 3; p. 203
• Main Authors: Saito, H, Nishimura, H, Matsui, T, Yamamichi, I, Tachibana, M, Mizukoshi, O
• Format: Journal Article
• Language: English
• Published: Germany 31.10.1978
• Subjects: Carcinoma, Squamous Cell - surgery; Female; Humans; Male; Mouth Neoplasms - surgery; Oroantral Fistula - prevention & control; Pharyngeal Neoplasms - surgery; Postoperative Complications - prevention & control; Skin Transplantation; Transplantation, Autologous - methods; Wound Healing
• ISSN: 0302-9530
• DOI: 10.1007/BF01886296

Reconstruction of the intraoral defect following cancer surgery often causes formation of fistula, impairment of lingual movement, and prolonged hospitalization by secondary reconstruction. To reduce such complications, the modified cervical island skin flap method as a one-stage intraoral reconstruction was used in 18 patients. Lateral cervical island flap was used in 15 cases and the median flap in three. This method proved to be successful for 17 patients. One patient who received a preoperative full dose of irradiation developed a fistula. There were two types of healing of the skin flap. The postoperative external appearance and function of the tongue were commendable.