Abstract
Surgical treatment for cancers of the head and neck in general, and for cancers of the oral cavity specifically, will often require that reconstruction is undertaken to improve functional and cosmetic outcomes. Restoration of surgical ablations and the resultant defects that occur requires reconstitution of residual tissue and the rebuilding of lost anatomical elements. Fortunately, a variety of surgical reconstructive options are available to the surgeon. The type of reconstruction technique employed is dependent on the size and complexity, as well as the location of the surgical defect. Within the literature, a range of reconstructive techniques have been described. This includes procedures involving primary closure, local flaps, or regional flaps, to complex microvascular free tissue transfers. This chapter outlines and describes these reconstruction methods. In doing so, the chapter seeks to educate other professionals who may be involved in the posttreatment rehabilitation of those who require surgical ablation and reconstruction as part of their treatment for cancer of the oral structures.
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References
Baas, M., Duraku, L. S., Corten, E. M. L., & Mureau, M. A. M. (2015). A systematic review on the sensory reinnervation of free flaps for tongue reconstruction: Does improved sensibility imply functional benefits? Journal of Plastic and Reconstructive Aesthetic Surgery, 68(8), 1025–1035.
Brown, J. S., Lowe, D., Kanatas, A., & Schache, A. (2017). Mandibular reconstruction with vascularised bone flaps: A systematic review over 25 years. British Journal of Oral and Maxillofacial Surgery, 55(2), 113–126.
Chana, J. S., & Wei, F.-C. (2004). A review of the advantages of the anterolateral thigh flap in head and neck reconstruction. British Journal of Plastic Surgery, 57(7), 603–609.
Chepeha, D. B., Spector, M. E., Chinn, S. B., Casper, K. A., Chanowski, E. J. P., Moyer, J. S., … Lyden, T. H. (2016). Hemiglossectomy tongue reconstruction: Modeling of elevation, protrusion, and functional outcome using receiver operator characteristic curve. Head & Neck, 38(7), 1066–1073.
Clark, J. R., Vesely, M., & Gilbert, R. (2008). Scapular angle osteomyogenous flap in postmaxillectomy reconstruction: Defect, reconstruction, shoulder function, and harvest technique. Head & Neck, 30(1), 10–20.
Genden, E. (2012). Reconstruction of the head and neck: A defect-oriented approach (1st ed.). New York, NY: Thieme Medical Publishers.
Genden, E. M., Buchbinder, D., & Urken, M. L. (2004). The submental island flap for palatal reconstruction: A novel technique. Journal of Oral and Maxillofacial Surgery, 62(3), 387–390.
Genden, E. M., Ferlito, A., Silver, C. E., Takes, R. P., Suárez, C., Owen, R. P., … Rodrigo, J. P. (2010). Contemporary management of cancer of the oral cavity. European Archives of Oto-Rhino-Laryngology, 267(7), 1001–1017.
Genden, E. M., Wallace, D. I., Okay, D., & Urken, M. L. (2004). Reconstruction of the hard palate using the radial forearm free flap: Indications and outcomes. Head & Neck, 26(9), 808–814.
Harris, L., Higgins, K., & Enepekides, D. (2012). Local flap reconstruction of acquired lip defects. Current Opinion in Otolaryngology Head and Neck Surgery, 20(4), 254–261.
Hayden, R. E., & Nagel, T. H. (2013). The evolving role of free flaps and pedicled flaps in head and neck reconstruction. Current Opinions in Otolaryngology Head and Neck Surgery, 21(4), 305–310.
Hayden, R. E., Nagel, T. H., & Donald, C. B. (2014). Hybrid submental flaps for reconstruction in the head and neck: Part pedicled, part free. Laryngoscope, 124(3), 637–641.
Howard, B. E., Nagel, T. H., Donald, C. B., Hinni, M. L., & Hayden, R. E. (2014). Oncologic safety of the submental flap for reconstruction in oral cavity malignancies. Otolaryngology Head and Neck Surgery, 150(4), 558–562.
Hutcheson, K. A., & Lewin, J. S. (2013). Functional assessment and rehabilitation. How to maximize outcomes. Otolaryngology Clinics of North America, 46(4), 657–670.
Kuriakose, M. A., Loree, T. R., Spies, A., Meyers, S., & Hicks, W. L. (2001). Sensate radial forearm free flaps in tongue reconstruction. Archives of Otolaryngology Head and Neck Surgery, 127(12), 1463–1466.
Miles, B. A., Goldstein, D. P., Gilbert, R. W., & Gullane, P. J. (2010). Mandible reconstruction. Current Opinions in Otolaryngology Head and Neck Surgery, 18(4), 317–322.
Morlandt, A. B. (2016). Reconstruction of the maxillectomy defect. Current Otorhinolaryngology Reports, 4(3), 201–210.
Namin, A. W., & Varvares, M. A. (2016). Functional outcomes of sensate versus insensate free flap reconstruction in oral and oropharyngeal reconstruction: A systematic review. Head & Neck, 38(11), 1717–1721.
Napolitano, M., & Mast, B. A. (2001). The nasolabial flap revisited as an adjunct to floor-of-mouth reconstruction. Annals of Plastic Surgery, 46(3), 265–268.
Neligan, P. C., Gullane, P. J., & Gilbert, R. W. (2003). Functional reconstruction of the oral cavity. World Journal of Surgery, 27(7), 856–862.
Okay, D. J., Genden, E., Buchbinder, D., & Urken, M. (2001). Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects. Journal of Prosthetic Dentistry, 86(4), 352–363.
Park, C. W., & Miles, B. A. (2011). The expanding role of the anterolateral thigh free flap in head and neck reconstruction. Current Opinions in Otolaryngology Head and Neck Surgery, 19(4), 263–268.
Patel, U., Bayles, S. W., & Hayden, R. E. (2007). The submental flap: A modified technique for resident training. Laryngoscope, 117(1), 186–189.
Pauloski, B. R. (2008). Rehabilitation of dysphagia following head and neck cancer. Physical Medicine and Rehabilitation Clinics of North America, 19(4), 889–928.
Rahpeyma, A., & Khajehahmadi, S. (2016). The place of nasolabial flap in orofacial reconstruction: A review. Annals of Medicine and Surgery, 12(1), 79–87.
Riemann, M., Knipfer, C., Rohde, M., Adler, W., Schuster, M., Noeth, E., … Stelzle, F. (2016). Oral squamous cell carcinoma of the tongue: Prospective and objective speech evaluation of patients undergoing surgical therapy. Head & Neck, 38(7), 993–1001.
Rigby, M. H., & Taylor, S. M. (2013). Soft tissue reconstruction of the oral cavity: A review of current options. Current Opinions in Otolaryngology Head and Neck Surgery, 21(4), 311–317.
Serletti, J. M., Tavin, E., Moran, S. L., & Coniglio, J. U. (1997). Total lower lip reconstruction with a sensate composite radial forearm-palmaris longus free flap and a tongue flap. Plastic and Reconstructive Surgery, 99(2), 559–561.
Shah, J. P., & Gil, Z. (2009). Current concepts in management of oral cancer – Surgery. Oral Oncology, 45(4–5), 394–401.
Shnayder, Y., Lin, D., Desai, S. C., Nussenbaum, B., Sand, J. P., & Wax, M. K. (2015). Reconstruction of the lateral mandibular defect. JAMA Facial Plastic Surgery, 17(5), 367–373.
Strong, E. B., & Haller, J. R. (1996). Reconstruction of the lip and perioral region. Current Opinion in Otolaryngology Head and Neck Surgery, 4, 267–270.
Szeto, C., Yoo, J., Busato, G.-M., Franklin, J., Fung, K., & Nichols, A. (2011). The buccinator flap: A review of current clinical applications. Current Opinions in Otolaryngology Head and Neck Surgery, 19(4), 257–262.
Urken, M. L., Buchbinder, D., Weinberg, H., Vickery, C., Sheiner, A., Parker, R., … Biller, H. F. (1991). Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: A comparative study of reconstructed and nonreconstructed patients. Laryngoscope, 101(9), 935–950.
Vos, J. D., & Burkey, B. B. (2004). Functional outcomes after free flap reconstruction of the upper aerodigestive tract. Current Opinions in Otolaryngology Head and Neck Surgery, 12(4), 305–310.
Wei, F.-C., Celik, N., Yang, W.-G., Chen, I.-H., Chang, Y.-M., & Chen, H.-C. (2003). Complications after reconstruction by plate and soft-tissue free flap in composite mandibular defects and secondary salvage reconstruction with osteocutaneous flap. Plastic and Reconstructive Surgery, 112(1), 37–42.
Yoo, J., Dowthwaite, S. A., Fung, K., Franklin, J., & Nichols, A. (2013). A new angle to mandibular reconstruction: The scapular tip free flap. Head & Neck, 35(7), 980–986.
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Yeh, D.H., Sahovaler, A., Yoo, J. (2019). Surgical Reconstruction for Cancer of the Oral Cavity. In: Doyle, P. (eds) Clinical Care and Rehabilitation in Head and Neck Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-04702-3_2
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DOI: https://doi.org/10.1007/978-3-030-04702-3_2
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