面动脉肌粘膜瓣口腔再造术的肿瘤预后。

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-01-01 DOI:10.1016/j.amjoto.2024.104555

Wojciech K. Mydlarz, Alia J. Mowery, Nicholas Scott-Wittenborn, Carole Fakhry, Shaun C. Desai

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引用次数: 0

摘要

背景：面动脉肌粘膜（FAMM）皮瓣用于口腔鳞状细胞癌（OCSCC）的重建。本研究评估FAMM皮瓣用于OCSCC重建的肿瘤学安全性，考虑到在择期颈部夹层中需要保留面部动脉和静脉。设计与方法：回顾性分析2016年至2023年所有接受FAMM皮瓣重建的OCSCC患者的单外科病例系列。病例分析包括肿瘤位置、分类和分期、手术细节和术后结果，包括局部和整体疾病控制。结果：21例OCSCC术后行FAMM重建。年龄40 ~ 85岁（平均61岁），男性15例（71%）。16例（76%）患者行颈部清扫术。随访0 ~ 81个月，平均28个月。1例患者（5%）复发于同侧颈部IV级，1例（5%）有第二原发肿瘤，3例（14%）发生远处转移。结论：FAMM皮瓣是OCSCC术后重建安全可靠的选择。在我们的研究中，局部复发的风险没有显著增加。

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Oncological outcomes of the facial artery musculomucosal flap for oral cavity reconstruction

Background

Facial artery musculomucosal (FAMM) flaps are used for reconstruction of oral cavity squamous cell carcinoma (OCSCC). This study evaluates the oncologic safety of the FAMM flaps for OCSCC reconstruction, given the need to preserve the facial artery and vein during elective neck dissection.

Design & methods

Retrospective single surgeon case series of all patients undergoing FAMM flap reconstruction for OCSCC from 2016 through 2023. Case analysis included tumor location, classification and staging, surgical details, and post-operative outcomes including locoregional and overall disease control.

Results

Twenty-one patients underwent FAMM reconstruction after resection for OCSCC. Age ranged from 40 to 85 years old (mean 61), 15 (71 %) were male. Sixteen (76 %) patients underwent neck dissection. Follow-up ranged from 0 to 81 months (mean 28). One patient (5 %) recurred in ipsilateral neck level IV, one (5 %) had a second primary tumor, and three patients (14 %) developed distant metastases.

Conclusions

FAMM flap represents a safe and reliable option for reconstruction after OCSCC. In our series there was no significant increased risk of locoregional recurrence.

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.