Zabiegi rekonstrukcyjne w wielkich guzach gruczołów ślinowych
Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 1
Abstract
Objective: Evaluation the outcome after extensive surgery of salivary glands tumors with simultaneous reconstruction of soft tissue and skin defect. Material: In the period 2007– 2011, surgery treatments performed in 295 of major salivary glands. 31 patients underwent surgery due to malignant parotid gland tumors: 19 women (61%) and 12 men (39%). In 8 (26%) presented skin infiltration. 10 (32%) patients had facial palsy between II-IV degree (House Brackmann scale). The radiographic findings in some patients showed infiltration of the deep lobe of parotid gland, external auditory canal, infiltration of mastoid process, skull base and the subtemporal fossa. Methods: Of the 31 patients in 13 (42%) reconstruction techniques with muscle cutaneous trapezius flap were applied in 4 (31%) patients. In group of 7 (54%) patients using a muscle flap based on the sterno-cleido-gland, in 2 (15%) patients defects were covered using the free anterior lateral thigh flap. Results: In all patients, healing proceeded normally. In the operated patients, one patient did not receive radical surgery due to the infiltration of the skull base. Length of hospitalization ranged between 7–21 days. In no case was lost flap, also there was no local complications at the donor. Conclusions: The choice of treatment for malignant parotid gland tumors which are usually radioresistant is surgical resection. In patients with extensive tumors with infiltration of neighbouring organs reconstruction with use of distant flaps are recommended. It provides a good oncological and aesthetic result.
Authors and Affiliations
Maciej Pabiszczak, Jacek Banaszewski, Małgorzata Wierzbicka, Joanna Jackowska, Elżbieta Waśniewska, Witold Szyfter
Keywords
Related Articles
- EP ID EP52143
- DOI -
- Views 107
- Downloads 0
Szkliwiak zatoki szczękowej – opis przypadku
Ameloblastoma (adamantinoma) is a benign neoplasm deriving from the enamel organ. Its etiology has not been ultimately determined. It constitutes about 1% of all head and neck tumours, and about 11% of teeth-originating...
Correlations between Apnea/Hypopnea Index and selected morphological and clinical parameters in patients with unilateral or bilateral impairment of nasal patency
Introduction: The aim of this work was to evaluate the correlation between Apnea/Hypopnea Index (AHI) and selected parameters of morphological and clinical character in the patients with a unilateral or bilateral impairm...
Problem of infections at ENT Department of Poznan University of Medical Sciences based on the material from 2006-2007 years
Introduction: Infections at ENT wards constitute an essential clinical, organizational and economic issue. Aim: The purpose of this work was to present the problem of infections at ENT Clinic of Poznan University of Medi...
The sonoelastography of major salivary glands in chosen pathological conditions
SUMMARY Introduction: Sonoelastography is a novel technique useful in noninvasive assessment of tissue elasticity. This method was found to date to be useful in noninvasive differentiation of benign and malignant Iesions...
Zębopochodne stany zapalne tkanek miękkich twarzy i szyi w materiale Oddziału Otolaryngologii Szpitala Wojewódzkiego im. św. Łukasza w Tarnowie – obserwacja 5-letnia
Introduction: In the ethology of inflammations within the head and neck area, odontogenic ethology still plays an important role. Early recognition, diagnosis and management of odontogenic infections are requisites for a...