Use of the keystone island flap for advanced head and neck cancer in the elderly – a principle of amelioration
Summary Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction. The keystone flap approach is an alternate reconstructive technique with a range of benefits for the aging population. This publicatio...
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Published in | Journal of plastic, reconstructive & aesthetic surgery Vol. 63; no. 5; pp. 739 - 745 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.05.2010
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Abstract | Summary Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction. The keystone flap approach is an alternate reconstructive technique with a range of benefits for the aging population. This publication presents a series of elderly patients with head and neck cancer who underwent resection and reconstruction using the keystone flap principles. The aim is to demonstrate the value of this reconstructive technique in the various anatomical regions of the head and neck. Various operative sequences are accompanied by illustrations and discussions of the underlying principles. |
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AbstractList | Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction. The keystone flap approach is an alternate reconstructive technique with a range of benefits for the aging population. This publication presents a series of elderly patients with head and neck cancer who underwent resection and reconstruction using the keystone flap principles. The aim is to demonstrate the value of this reconstructive technique in the various anatomical regions of the head and neck. Various operative sequences are accompanied by illustrations and discussions of the underlying principles. Summary Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction. The keystone flap approach is an alternate reconstructive technique with a range of benefits for the aging population. This publication presents a series of elderly patients with head and neck cancer who underwent resection and reconstruction using the keystone flap principles. The aim is to demonstrate the value of this reconstructive technique in the various anatomical regions of the head and neck. Various operative sequences are accompanied by illustrations and discussions of the underlying principles. |
Author | Lo, Cheng Hean Sizeland, Andrew Gilmour, Fraser Hui, Andrew Behan, Felix Seel, Matthew |
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Cites_doi | 10.1001/archotol.130.8.962 10.1046/j.1445-2197.2003.02618.x 10.1067/mhn.2002.122704 10.1046/j.1445-2197.2003.02638.x |
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Keywords | Head and neck Keystone island flap Elderly Cancer Human Treatment Surgery ENT disease Head and neck cancer Island flap Malignant tumor |
Language | English |
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References | Behan FC, Wilson I. The principle of the angiotome, a system of linked axial pattern flaps. In: Transactions 6th International Congress of Plastic & Reconstructive Surgery. Paris; 1975. Behan, Wilson (bib8) 1972 Blackwell, Azizzadeh, Ayala, Rawnsley (bib4) 2002; 126 Suh, Sercarz, Abemayor (bib3) 2004; 130 Australian Bureau of Statistics (bib2) accepted for publication. Australian Bureau of Statistics (bib1) Coventry, Walsh (bib6) 2003; 73 Behan FC, Lo CH, Shayan R. Perforator territory of the keystone flap – use of the dermatomal roadmap. Behan (bib5) 2003; 73 10.1016/j.bjps.2009.01.079_bib9 Behan (10.1016/j.bjps.2009.01.079_bib8) 1972 Coventry (10.1016/j.bjps.2009.01.079_bib6) 2003; 73 10.1016/j.bjps.2009.01.079_bib7 Australian Bureau of Statistics (10.1016/j.bjps.2009.01.079_bib2) Australian Bureau of Statistics (10.1016/j.bjps.2009.01.079_bib1) Blackwell (10.1016/j.bjps.2009.01.079_bib4) 2002; 126 Suh (10.1016/j.bjps.2009.01.079_bib3) 2004; 130 Behan (10.1016/j.bjps.2009.01.079_bib5) 2003; 73 |
References_xml | – volume: 73 start-page: 14 year: 2003 end-page: 18 ident: bib6 article-title: Cutaneous innervation in man before and after lumbar sympathectomy: evidence for interruption of both sensory and vasomotor nerve fibres publication-title: ANZ J Surg contributor: fullname: Walsh – ident: bib1 contributor: fullname: Australian Bureau of Statistics – volume: 130 start-page: 962 year: 2004 end-page: 966 ident: bib3 article-title: Analysis of outcome and complications in 400 cases of microvascular head and neck reconstruction publication-title: Arch Otolaryngol Head Neck Surg contributor: fullname: Abemayor – volume: 126 start-page: 301 year: 2002 end-page: 306 ident: bib4 article-title: Octogenarian free flap reconstruction: complications and cost of therapy publication-title: Otolaryngol Head Neck Surg contributor: fullname: Rawnsley – year: 1972 ident: bib8 article-title: The vascular basis of laterally based forehead island flaps, and their clinical applications publication-title: Plast Reconstr J contributor: fullname: Wilson – volume: 73 start-page: 112 year: 2003 end-page: 120 ident: bib5 article-title: The keystone design perforator island flap in reconstructive surgery publication-title: ANZ J Surg contributor: fullname: Behan – ident: bib2 contributor: fullname: Australian Bureau of Statistics – volume: 130 start-page: 962 year: 2004 ident: 10.1016/j.bjps.2009.01.079_bib3 article-title: Analysis of outcome and complications in 400 cases of microvascular head and neck reconstruction publication-title: Arch Otolaryngol Head Neck Surg doi: 10.1001/archotol.130.8.962 contributor: fullname: Suh – ident: 10.1016/j.bjps.2009.01.079_bib2 contributor: fullname: Australian Bureau of Statistics – ident: 10.1016/j.bjps.2009.01.079_bib7 – volume: 73 start-page: 14 year: 2003 ident: 10.1016/j.bjps.2009.01.079_bib6 article-title: Cutaneous innervation in man before and after lumbar sympathectomy: evidence for interruption of both sensory and vasomotor nerve fibres publication-title: ANZ J Surg doi: 10.1046/j.1445-2197.2003.02618.x contributor: fullname: Coventry – ident: 10.1016/j.bjps.2009.01.079_bib1 contributor: fullname: Australian Bureau of Statistics – volume: 126 start-page: 301 year: 2002 ident: 10.1016/j.bjps.2009.01.079_bib4 article-title: Octogenarian free flap reconstruction: complications and cost of therapy publication-title: Otolaryngol Head Neck Surg doi: 10.1067/mhn.2002.122704 contributor: fullname: Blackwell – volume: 73 start-page: 112 year: 2003 ident: 10.1016/j.bjps.2009.01.079_bib5 article-title: The keystone design perforator island flap in reconstructive surgery publication-title: ANZ J Surg doi: 10.1046/j.1445-2197.2003.02638.x contributor: fullname: Behan – year: 1972 ident: 10.1016/j.bjps.2009.01.079_bib8 article-title: The vascular basis of laterally based forehead island flaps, and their clinical applications publication-title: Plast Reconstr J contributor: fullname: Behan – ident: 10.1016/j.bjps.2009.01.079_bib9 |
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Snippet | Summary Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical... Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction.... |
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SubjectTerms | Age Factors Aged Aged, 80 and over Biological and medical sciences Cancer Elderly Female Follow-Up Studies Head and neck Head and Neck Neoplasms - diagnosis Head and Neck Neoplasms - surgery Humans Keystone island flap Male Medical sciences Neck Dissection - methods Neoplasm Staging Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Plastic Surgery Reconstructive Surgical Procedures - methods Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps Time Factors Treatment Outcome Tumors |
Title | Use of the keystone island flap for advanced head and neck cancer in the elderly – a principle of amelioration |
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