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Facial artery musculomucosal flaps in oropharyngeal reconstruction following salvage transoral robotic surgery: a review of outcomes

Published online by Cambridge University Press:  02 September 2019

A Asairinachan ,
F O'Duffy ,
M P Li ,
T Fua ,
A Chauhan ,
M J R Magarey  and
B J Dixon
A Asairinachan*
Affiliation:
Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia
F O'Duffy
Affiliation:
Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia
M P Li
Affiliation:
Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
T Fua
Affiliation:
Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
A Chauhan
Affiliation:
Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia Department of Head and Neck Surgery, Epworth Healthcare, Richmond, Australia
M J R Magarey
Affiliation:
Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia Department of Head and Neck Surgery, Epworth Healthcare, Richmond, Australia
B J Dixon
Affiliation:
Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia Department of Head and Neck Surgery, Epworth Healthcare, Richmond, Australia
*
Author for correspondence: Dr Ashwinna Asairinachan, Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne 3000, Victoria, Australia E-mail: ash.asair@gmail.com
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Abstract

Objective

There has been little reported on the transoral reconstructive options following salvage transoral robotic surgery. This paper describes the facial artery musculomucosal flap as a method to introduce vascularised tissue to a previously irradiated resection bed.

Methods

A facial artery musculomucosal flap was used to reconstruct the lateral pharyngeal wall in 13 patients undergoing salvage transoral robotic surgery for oropharyngeal squamous cell carcinoma. Outcomes recorded include flap and donor site complications, length of stay, and swallowing and speech outcomes.

Results

There were no immediate or late flap complications, or cases of delayed wound healing in this series. There were two facial artery musculomucosal related complications requiring surgical management: one bleed from the facial artery musculomucosal donor site and one minor surgical revision. Healing of the flap onto the resection bed was successful in all cases.

Conclusion

The facial artery musculomucosal flap provides a suitable transoral local flap option for selected patients undergoing salvage transoral robotic surgery for oropharyngeal malignancies.

Keywords

Robotic Surgical ProceduresReconstructive Surgical ProceduresSalvage TherapyOropharyngeal NeoplasmsSquamous Cell Carcinoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 884 - 888
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr A Asairinachan takes responsibility for the integrity of the content of the paper

Presented at the Asian Society of Head and Neck Oncology (‘ASHNO’) Meeting, 27–30 March 2019, Seoul, Korea.

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