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

  • A Asairinachan (a1), F O'Duffy (a1), M P Li (a2), T Fua (a2), A Chauhan (a1) (a3), M J R Magarey (a1) (a3) and B J Dixon (a1) (a3)...

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.

Copyright

Corresponding author

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

Footnotes

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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.

Footnotes

References

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Keywords

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

  • A Asairinachan (a1), F O'Duffy (a1), M P Li (a2), T Fua (a2), A Chauhan (a1) (a3), M J R Magarey (a1) (a3) and B J Dixon (a1) (a3)...

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