Submandibular Gland Flap Reconstruction for Oropharyngeal Defects After Transoral Robotic Surgery (TORS).

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-12-30 DOI:10.1002/hed.28051

Daniel P Lander, Nikhil Vettikattu, Tuleen Sawaf, Naomi Wang, Mihir R Patel, Azeem S Kaka, Andrés M Bur, Ryan S Jackson

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引用次数: 0

Abstract

Background: To describe utilization and outcomes of submandibular gland flap (SGF) reconstruction after transoral robotic surgery (TORS) for oropharyngeal squamous cell carcinoma (OPSCC).

Methods: A multi-institutional retrospective case series of patients who underwent TORS for OPSCC followed by SGF reconstruction with harvest via transcervical approach from 1/1/2016 to 4/1/2023.

Results: In total, 14 patients underwent SGF reconstruction after TORS for OPSCC. All patients had HPV-positive disease, predominantly in early local (N = 10 with pT1/pT2 disease, 71%) and regional stages (N = 11 with pN0/pN1 disease, 79%). Most patients received adjuvant radiation treatment (N = 9, 64%). Median hospital LOS after surgery was 4 days (IQR 2 days) with median functional oral intake scale (FOIS) score of 5 (IQR 0.8) at 1-3 weeks after surgery.

Conclusions: SGF reconstruction is a useful technique for closure of appropriately selected TORS defects requiring reconstruction beyond healing by secondary intention and mobilization of adjacent tissue but not large enough to warrant free flap reconstruction.

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颌下腺瓣重建经口机器人手术后口咽缺损。

背景：描述经口机器人手术（TORS）治疗口咽鳞状细胞癌（OPSCC）后下颌下腺皮瓣（SGF）重建的应用和结果。方法：2016年1月1日至2023年4月1日，多机构回顾性病例系列，接受tor治疗的OPSCC患者，随后经宫颈入路SGF重建。结果：共有14例OPSCC tor术后SGF重建。所有患者均有hpv阳性疾病，主要发生在早期局部（pT1/pT2疾病N = 10例，占71%）和局部（pN0/pN1疾病N = 11例，占79%）。大多数患者接受了辅助放疗（N = 9, 64%）。术后住院时间中位数为4天（IQR 2天），术后1-3周功能性口服摄入量表（FOIS）评分中位数为5分（IQR 0.8）。结论：SGF重建是一种有效的技术，用于关闭适当选择的TORS缺损，需要重建超过愈合的二次意图和邻近组织的动员，但不足以保证自由皮瓣重建。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.