The Experts below are selected from a list of 2619 Experts worldwide ranked by ideXlab platform
B K Tan - One of the best experts on this subject based on the ideXlab platform.
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extended lower trapezius island Myocutaneous Flap a fascioMyocutaneous Flap based on the dorsal scapular artery
Plastic and Reconstructive Surgery, 2000Co-Authors: Kok Chai Tan, B K TanAbstract:The lower trapezius island Myocutaneous Flap is a useful Flap in head and neck reconstruction. It is thin and pliable and can reach defects in most areas of the head and neck. Its usefulness in head and neck reconstruction has often been limited or discouraged by reports of significant failure rates. In this study, the vascular anatomy and clinical use of the extended lower trapezius Myocutaneous Flap based solely on the dorsal scapular artery system are elucidated, and experience gained performing 20 Flaps over the past 5 years by using the extended lower trapezius Myocutaneous Flap is reported. The vascular anatomy of the dorsal scapular artery system is reviewed in 13 fresh cadaveric dissections by using methylene blue, latex injection studies, and radiologic examination.
Bin Zhang - One of the best experts on this subject based on the ideXlab platform.
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Reconstruction of large defects of the neck using an extended vertical lower trapezius island Myocutaneous Flap following salvage surgery for neck recurrence of oral carcinoma.
Journal of plastic reconstructive & aesthetic surgery : JPRAS, 2010Co-Authors: Wei-liang Chen, Zhao-hui Yang, Zhi-quan Huang, Jian-guang Wang, Bin Zhang, Da-ming ZhangAbstract:Summary This article describes the extended vertical lower trapezius island Myocutaneous Flap for reconstructing large defects of the neck. A total of 11 patients with neck recurrence of oral carcinoma were treated using salvage surgery and an extended vertical lower trapezius island Myocutaneous Flap based on the transverse cervical artery was used to repair the large defect in the neck. No major Flap failure occurred. No disabilities were observed in terms of shoulder motion. The patients were followed up for 6–22 months. Four patients developed local recurrence: two of them are still alive with the disease and two have died. The extended vertical lower trapezius island Myocutaneous Flap is a large, simple and reliable Flap, which is a salvage Flap preferred for reconstructing large defects of the neck following the ablation of neck recurrence of oral carcinoma.
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extended vertical lower trapezius island Myocutaneous Flap in reconstruction of oral and maxillofacial defects after salvage surgery for recurrent oral carcinoma
Journal of Oral and Maxillofacial Surgery, 2007Co-Authors: Wei-liang Chen, Zhao-hui Yang, Zhi-quan Huang, Jian-guang Wang, Bin ZhangAbstract:Purpose The purpose of this study was to explore an effective repair method for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral carcinoma. Patients and Methods Eight patients (6 females and 2 males, mean age, 56.9 years) with recurrent oral squamous cell carcinoma of the tongue (n = 4), oral cavity floor (n = 2), and buccal (n = 2) were treated with salvage surgery, and the oral and maxillofacial soft-tissue defects were reconstructed primarily by extended vertical lower trapezius island Myocutaneous Flap. Results No Flap failure occurred. The donor sites were closed primarily. There were no disabilities with regard to shoulder motion. Followed up after the operation, the survival period of the patients was 6 to 30 months and the average survival period was 13.1 months. There was 1 recurrent case. All of the patients survived. Conclusion The extended vertical lower trapezius island Myocutaneous Flap, which is a simple, reliable and large Flap, can be preferred as a salvage procedure for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral squamous cell carcinoma.
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combined repair of large defect caused by radical surgery of advanced tongue cancer with rib major pectoralis Myocutaneous Flap carrying costal parietal pleura
Chinese journal of surgery, 2006Co-Authors: Chaobin Pan, Zhao-hui Yang, Zhi-quan Huang, Bin Zhang, Hongzhang Huang, Xiaopeng Zhao, Yongjie WangAbstract:OBJECTIVE: To explore the clinical value and safety of using rib-major pectoralis Myocutaneous Flap carrying costal parietal pleura in combined repair of large soft and hard tissue defect caused by radical surgery of advanced tongue cancer. METHODS: Six patients with advanced tongue carcinoma involving the floor of mouth and mandible were performed combined radical neck dissection with glossectomy and mandibulectomy, which caused large soft and hard tissue defect. Six rib-major pectoralis Myocutaneous Flaps carrying costal parietal pleura were transferred for immediate repair of the large defects. The rib Flaps were applied for the repair of mandible, and the major pectoralis Myocutaneous Flaps were applied for the reconstruction of tongue and floor of mouth. RESULTS: Six patients recovered well after operation. Six rib-major pectoralis Myocutaneous Flaps carrying costal parietal pleura survived well; the wounds of surgical incision of the oral cavity, neck, and chest healed up. The reconstructed tongue and the lower face appearance were satisfactory, the occlusion relationships were normal; the speaking as well as swallowing functions recovered. CONCLUSIONS: It's safe and reliable to use rib-major pectoralis Myocutaneous Flap carrying costal parietal pleura to repair large soft and hard tissue defect in oral and maxillofacial region. Opening pleural cavity and harvest costal parietal pleura would not influence patients' thoracic movement and breath function and would not cause other complications. It's simple and safe for harvesting the composite Flap. Carrying costal parietal pleura assures the sufficient blood supply of rib in the composite Flap.
Kok Chai Tan - One of the best experts on this subject based on the ideXlab platform.
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extended lower trapezius island Myocutaneous Flap a fascioMyocutaneous Flap based on the dorsal scapular artery
Plastic and Reconstructive Surgery, 2000Co-Authors: Kok Chai Tan, B K TanAbstract:The lower trapezius island Myocutaneous Flap is a useful Flap in head and neck reconstruction. It is thin and pliable and can reach defects in most areas of the head and neck. Its usefulness in head and neck reconstruction has often been limited or discouraged by reports of significant failure rates. In this study, the vascular anatomy and clinical use of the extended lower trapezius Myocutaneous Flap based solely on the dorsal scapular artery system are elucidated, and experience gained performing 20 Flaps over the past 5 years by using the extended lower trapezius Myocutaneous Flap is reported. The vascular anatomy of the dorsal scapular artery system is reviewed in 13 fresh cadaveric dissections by using methylene blue, latex injection studies, and radiologic examination.
Zhi-quan Huang - One of the best experts on this subject based on the ideXlab platform.
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Reconstruction of large defects of the neck using an extended vertical lower trapezius island Myocutaneous Flap following salvage surgery for neck recurrence of oral carcinoma.
Journal of plastic reconstructive & aesthetic surgery : JPRAS, 2010Co-Authors: Wei-liang Chen, Zhao-hui Yang, Zhi-quan Huang, Jian-guang Wang, Bin Zhang, Da-ming ZhangAbstract:Summary This article describes the extended vertical lower trapezius island Myocutaneous Flap for reconstructing large defects of the neck. A total of 11 patients with neck recurrence of oral carcinoma were treated using salvage surgery and an extended vertical lower trapezius island Myocutaneous Flap based on the transverse cervical artery was used to repair the large defect in the neck. No major Flap failure occurred. No disabilities were observed in terms of shoulder motion. The patients were followed up for 6–22 months. Four patients developed local recurrence: two of them are still alive with the disease and two have died. The extended vertical lower trapezius island Myocutaneous Flap is a large, simple and reliable Flap, which is a salvage Flap preferred for reconstructing large defects of the neck following the ablation of neck recurrence of oral carcinoma.
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extended vertical lower trapezius island Myocutaneous Flap in reconstruction of oral and maxillofacial defects after salvage surgery for recurrent oral carcinoma
Journal of Oral and Maxillofacial Surgery, 2007Co-Authors: Wei-liang Chen, Zhao-hui Yang, Zhi-quan Huang, Jian-guang Wang, Bin ZhangAbstract:Purpose The purpose of this study was to explore an effective repair method for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral carcinoma. Patients and Methods Eight patients (6 females and 2 males, mean age, 56.9 years) with recurrent oral squamous cell carcinoma of the tongue (n = 4), oral cavity floor (n = 2), and buccal (n = 2) were treated with salvage surgery, and the oral and maxillofacial soft-tissue defects were reconstructed primarily by extended vertical lower trapezius island Myocutaneous Flap. Results No Flap failure occurred. The donor sites were closed primarily. There were no disabilities with regard to shoulder motion. Followed up after the operation, the survival period of the patients was 6 to 30 months and the average survival period was 13.1 months. There was 1 recurrent case. All of the patients survived. Conclusion The extended vertical lower trapezius island Myocutaneous Flap, which is a simple, reliable and large Flap, can be preferred as a salvage procedure for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral squamous cell carcinoma.
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combined repair of large defect caused by radical surgery of advanced tongue cancer with rib major pectoralis Myocutaneous Flap carrying costal parietal pleura
Chinese journal of surgery, 2006Co-Authors: Chaobin Pan, Zhao-hui Yang, Zhi-quan Huang, Bin Zhang, Hongzhang Huang, Xiaopeng Zhao, Yongjie WangAbstract:OBJECTIVE: To explore the clinical value and safety of using rib-major pectoralis Myocutaneous Flap carrying costal parietal pleura in combined repair of large soft and hard tissue defect caused by radical surgery of advanced tongue cancer. METHODS: Six patients with advanced tongue carcinoma involving the floor of mouth and mandible were performed combined radical neck dissection with glossectomy and mandibulectomy, which caused large soft and hard tissue defect. Six rib-major pectoralis Myocutaneous Flaps carrying costal parietal pleura were transferred for immediate repair of the large defects. The rib Flaps were applied for the repair of mandible, and the major pectoralis Myocutaneous Flaps were applied for the reconstruction of tongue and floor of mouth. RESULTS: Six patients recovered well after operation. Six rib-major pectoralis Myocutaneous Flaps carrying costal parietal pleura survived well; the wounds of surgical incision of the oral cavity, neck, and chest healed up. The reconstructed tongue and the lower face appearance were satisfactory, the occlusion relationships were normal; the speaking as well as swallowing functions recovered. CONCLUSIONS: It's safe and reliable to use rib-major pectoralis Myocutaneous Flap carrying costal parietal pleura to repair large soft and hard tissue defect in oral and maxillofacial region. Opening pleural cavity and harvest costal parietal pleura would not influence patients' thoracic movement and breath function and would not cause other complications. It's simple and safe for harvesting the composite Flap. Carrying costal parietal pleura assures the sufficient blood supply of rib in the composite Flap.
Zhao-hui Yang - One of the best experts on this subject based on the ideXlab platform.
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Reconstruction of large defects of the neck using an extended vertical lower trapezius island Myocutaneous Flap following salvage surgery for neck recurrence of oral carcinoma.
Journal of plastic reconstructive & aesthetic surgery : JPRAS, 2010Co-Authors: Wei-liang Chen, Zhao-hui Yang, Zhi-quan Huang, Jian-guang Wang, Bin Zhang, Da-ming ZhangAbstract:Summary This article describes the extended vertical lower trapezius island Myocutaneous Flap for reconstructing large defects of the neck. A total of 11 patients with neck recurrence of oral carcinoma were treated using salvage surgery and an extended vertical lower trapezius island Myocutaneous Flap based on the transverse cervical artery was used to repair the large defect in the neck. No major Flap failure occurred. No disabilities were observed in terms of shoulder motion. The patients were followed up for 6–22 months. Four patients developed local recurrence: two of them are still alive with the disease and two have died. The extended vertical lower trapezius island Myocutaneous Flap is a large, simple and reliable Flap, which is a salvage Flap preferred for reconstructing large defects of the neck following the ablation of neck recurrence of oral carcinoma.
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extended vertical lower trapezius island Myocutaneous Flap in reconstruction of oral and maxillofacial defects after salvage surgery for recurrent oral carcinoma
Journal of Oral and Maxillofacial Surgery, 2007Co-Authors: Wei-liang Chen, Zhao-hui Yang, Zhi-quan Huang, Jian-guang Wang, Bin ZhangAbstract:Purpose The purpose of this study was to explore an effective repair method for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral carcinoma. Patients and Methods Eight patients (6 females and 2 males, mean age, 56.9 years) with recurrent oral squamous cell carcinoma of the tongue (n = 4), oral cavity floor (n = 2), and buccal (n = 2) were treated with salvage surgery, and the oral and maxillofacial soft-tissue defects were reconstructed primarily by extended vertical lower trapezius island Myocutaneous Flap. Results No Flap failure occurred. The donor sites were closed primarily. There were no disabilities with regard to shoulder motion. Followed up after the operation, the survival period of the patients was 6 to 30 months and the average survival period was 13.1 months. There was 1 recurrent case. All of the patients survived. Conclusion The extended vertical lower trapezius island Myocutaneous Flap, which is a simple, reliable and large Flap, can be preferred as a salvage procedure for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral squamous cell carcinoma.
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combined repair of large defect caused by radical surgery of advanced tongue cancer with rib major pectoralis Myocutaneous Flap carrying costal parietal pleura
Chinese journal of surgery, 2006Co-Authors: Chaobin Pan, Zhao-hui Yang, Zhi-quan Huang, Bin Zhang, Hongzhang Huang, Xiaopeng Zhao, Yongjie WangAbstract:OBJECTIVE: To explore the clinical value and safety of using rib-major pectoralis Myocutaneous Flap carrying costal parietal pleura in combined repair of large soft and hard tissue defect caused by radical surgery of advanced tongue cancer. METHODS: Six patients with advanced tongue carcinoma involving the floor of mouth and mandible were performed combined radical neck dissection with glossectomy and mandibulectomy, which caused large soft and hard tissue defect. Six rib-major pectoralis Myocutaneous Flaps carrying costal parietal pleura were transferred for immediate repair of the large defects. The rib Flaps were applied for the repair of mandible, and the major pectoralis Myocutaneous Flaps were applied for the reconstruction of tongue and floor of mouth. RESULTS: Six patients recovered well after operation. Six rib-major pectoralis Myocutaneous Flaps carrying costal parietal pleura survived well; the wounds of surgical incision of the oral cavity, neck, and chest healed up. The reconstructed tongue and the lower face appearance were satisfactory, the occlusion relationships were normal; the speaking as well as swallowing functions recovered. CONCLUSIONS: It's safe and reliable to use rib-major pectoralis Myocutaneous Flap carrying costal parietal pleura to repair large soft and hard tissue defect in oral and maxillofacial region. Opening pleural cavity and harvest costal parietal pleura would not influence patients' thoracic movement and breath function and would not cause other complications. It's simple and safe for harvesting the composite Flap. Carrying costal parietal pleura assures the sufficient blood supply of rib in the composite Flap.
