The Experts below are selected from a list of 771 Experts worldwide ranked by ideXlab platform

Meselech Ambaw Dessie - One of the best experts on this subject based on the ideXlab platform.

Mark W Ashton - One of the best experts on this subject based on the ideXlab platform.

Jian Sun - One of the best experts on this subject based on the ideXlab platform.

  • a novel application of Superior Thyroid Artery perforator flaps for medium sized intraoral reconstructions retrospective analysis of 12 cases
    Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2021
    Co-Authors: Bing Guo, Yi Shen, Zhiwei Zheng, Liang Wang, Dan Zhu, Thorsen W Haugen, Jian Sun
    Abstract:

    BACKGROUND To describe the indications, technique, and preliminary experience in the application of the Superior Thyroid Artery perforator flap (STAPF) for the reconstruction of various medium-sized intraoral defects. METHODS From September 2018 to September 2019, 12 consecutive cases of oral squamous cell carcinoma underwent reconstruction with a STAPF. Clinical details were collected, and postoperative function was analyzed. RESULTS The venous drainage of the STAPF is variable with drainage into the internal jugular vein in six cases, into both the internal and external jugular veins in four cases, and into the external jugular vein in two cases. Ten cases were harvested as pedicled flaps, while two cases required a venous anastomosis due to inadequate length of the venous pedicle. Ten flaps survived completely, whereas two flaps had partial necrosis that ultimately resolved with secondary healing. CONCLUSIONS STAPF is a reliable method for the reconstruction of medium-sized intraoral defects.

  • a comparative study on using Superior Thyroid Artery perforator flaps versus traditional sternocleidomastoid myocutaneous flaps for reconstructions after oral cancer ablation new tricks for old dogs
    Oral Oncology, 2021
    Co-Authors: Surui Sheng, Yi Shen, Liang Wang, Thorsen W Haugen, Weijin Gao, Jian Sun
    Abstract:

    Abstract Objectives To introduce new Superior Thyroid Artery perforator flaps (STAPF), and to compare the clinical outcomes with sternocleidomastoid myocutaneous flaps (SCMMF) for their intraoral applications. Materials and methods Between January 2013 and December 2020, forty-three oral cancer patients who received post-oncologic reconstructions with one of these two regional flaps were retrospectively collected. Their techniques and outcomes were compared. All the STAPFs were preprepared with radiologic evaluations. Results Despite the common arterial origins, the compositions and harvesting procedures of STAPF and SCMMF were different. Though SCMMFs (n = 23) were designed in rotational styles, most STAPFs (n = 20) were septocutaneous perforator flaps, with 2 chimeric ones. In addition, the sizes of STAPFs were generally larger than those of SCMMFs (p = 0.006). Success rate for STAPFs was much higher, with only three partial cutaneous necroses. Radiotherapy delay was more frequently found in those reconstructed with SCMMFs (P = 0.046), mostly due to fistula formations. Besides, incomplete level IIB dissections were also reported in 9 (20.9%) patients in SCMMF group. In our study, the overall survival was affected by both flap conditions (p = 0.014, 1.333–12.881) and postoperative surgical complications (except fistula) (P = 0.005, 2.240–84.134). Functionally speaking, post-reconstructive speech and neck mobility (p  Conclusions With accumulated experiences on the use of locoregional flaps in the neck, STAPF, when well-prepared, can provide Superior reconstructive outcomes for various intraoral defects. As a comparison with SCMMF in the same middle region, STAPF is a viable option with higher success rates and oncological safety for oral cancer patients.

Richard Ross - One of the best experts on this subject based on the ideXlab platform.

Jeremy Wilson - One of the best experts on this subject based on the ideXlab platform.