LD flaps efficiently restored operate and look in all 22 instances of advanced head and neck reconstruction. Credit score: Osaka Metropolitan College
Osaka Metropolitan College researchers have developed a promising approach for head and neck reconstruction that shifts the location of transferred tissue with blood vessels hooked up, providing a safer, sooner possibility for sufferers with advanced tissue defects, particularly these at excessive danger.
Their work is printed in Plastic and Reconstructive Surgical procedure—International Open.
Head and neck reconstruction performs a vital position within the therapy of sufferers with head and neck most cancers. The objective is to protect features very important for respiratory, consuming, and talking, whereas sustaining the affected person’s look and high quality of life.
“Traditional reconstruction typically uses free flaps, which may not be feasible for some patients, such as those who have had prior radiation treatment or multiple surgeries,” mentioned Tsubasa Kojima, a medical physician and lecturer at Osaka Metropolitan College’s Graduate Faculty of Medication and lead creator of the research.
A free flap is a bit of tissue that’s absolutely indifferent from a wholesome a part of the physique (donor web site) and reattached to new blood vessels on the defect (recipient web site).
The analysis group reduce a brand new path and labored as an alternative with pedicled flaps taken from the again, referred to as pedicled latissimus dorsi (LD) myocutaneous flaps. Not like free flaps, pedicled flaps stay partially hooked up to the donor web site, retaining their pure blood provide as they’re transferred to the recipient web site for reconstruction.
Whereas the LD flap has been utilized in varied reconstructive surgical procedures, the group developed a singular strategy that positioned the pores and skin portion of the LD flap extra distally, or decrease on the again, than in standard strategies. This design contains the lateral cutaneous department of the tenth posterior intercostal artery, guaranteeing dependable blood move to the flap.
“This setup provides flexibility, allowing the LD flap to cover extensive defects, including those in both the mouth and neck simultaneously, and even facilitates jaw reconstruction by incorporating rib bone,” Kojima mentioned.
The research, performed between 2003 and 2024, demonstrated that the pedicled LD flap was efficiently built-in in all 22 sufferers with advanced head and neck defects.
“Our results suggest that this pedicled LD flap technique provides a reliable, fast, and minimally invasive option for head and neck reconstruction, particularly in cases where free flaps are not suitable,” Kojima mentioned. “We hope this approach will significantly improve treatment outcomes for patients undergoing head and neck reconstruction.”
Extra data:
Tsubasa Kojima et al, Salvage Operation of Head and Neck Reconstruction Utilizing a Pedicled Latissimus Dorsi Myocutaneous Flap with Distally Positioned Pores and skin Paddle, Plastic and Reconstructive Surgical procedure – International Open (2024). DOI: 10.1097/GOX.0000000000006199
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Tissue switch technique provides sooner, safer advanced head and neck reconstruction (2024, December 13)
retrieved 13 December 2024
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