Mandibular reconstruction using pectoralis major myocutaneous flap and titanium plates after ablative surgery for locally advanced tumors of the oral cavity
المؤلفون المشاركون
al-Zuhayri, Muhammad A.
Khalifah, Shuruq
Mustafa, Ahmad
Abd al-Fattah, Hisham M.
Amin, Ayman A.
المصدر
Journal of the Egyptian National Cancer Institute
العدد
المجلد 21، العدد 4 (31 ديسمبر/كانون الأول 2009)، ص ص. 299-307، 9ص.
الناشر
جامعة القاهرة المعهد القومي للأورام
تاريخ النشر
2009-12-31
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : the most common indication for mandible resection remains ablative surgery for cancer of the oral cavity and oropharynx.
The use of vascularized bone grafts has become state-of-the-art for mandibular reconstruction.
However, the high cost of such surgery may not be justified in patients with advanced disease and poor prognosis, or poor performance status.
Objective : the purpose of this study was to evaluate outcomes of mandibular reconstruction using titanium plates covered with a pedicle pectorals major my cutaneous flap after ablative surgery for locally advanced tumors of the oral cavity.
Patients and methods : the study involves a total of 33 patients with locally advanced tumors of the oral cavity that were treated over 5 year period (2003-2008) at the National Cancer Institute, Cairo University, Egypt.
Mandibular resections were performed for treatment of patients with primary oral cavity tumors invading the mandible followed by mandibular reconstruction using titanium plates covered with a pedicle pectorals major my cutaneous Flap.
Results : of 33 patients, 25 (75.75 %) were males and 8 (24.25 %) were females.
The age ranged from 42 to 70 years (mean 52.3 ± 5.9 years).
Tongue cancer was the most common tumor, it affects 17 (51.5 %) of the patients, 24 patients received post-operative radiation therapy.
The flap survival was 100 % ; partial necrosis of the flap skin was observed in 3 patients.
One patient developed wound dehiscence.
Oro-cutaneous fistula occurred in 5 patients that closed spontaneously.
There were 4 cases of plate failure, one patient experienced plate fracture at 13 months after reconstruction.
Three patients developed external plate exposure.
All patients achieved good functional and acceptable aesthetic outcome.
The overall cause-specific cumulative survival was 72.7 % at one year and 56.1 % at two years.
Conclusions : titanium plate and pedicle pectorals major my cutaneous flap is a safe and reliable option for composite mandibular defects.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Zuhayri, Muhammad A.& Mustafa, Ahmad& Amin, Ayman A.& Abd al-Fattah, Hisham M.& Khalifah, Shuruq. 2009. Mandibular reconstruction using pectoralis major myocutaneous flap and titanium plates after ablative surgery for locally advanced tumors of the oral cavity. Journal of the Egyptian National Cancer Institute،Vol. 21, no. 4, pp.299-307.
https://search.emarefa.net/detail/BIM-273910
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Abd al-Fattah, Hisham M.…[et al.]. Mandibular reconstruction using pectoralis major myocutaneous flap and titanium plates after ablative surgery for locally advanced tumors of the oral cavity. Journal of the Egyptian National Cancer Institute Vol. 21, no. 4 (Dec. 2009), pp.299-307.
https://search.emarefa.net/detail/BIM-273910
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Zuhayri, Muhammad A.& Mustafa, Ahmad& Amin, Ayman A.& Abd al-Fattah, Hisham M.& Khalifah, Shuruq. Mandibular reconstruction using pectoralis major myocutaneous flap and titanium plates after ablative surgery for locally advanced tumors of the oral cavity. Journal of the Egyptian National Cancer Institute. 2009. Vol. 21, no. 4, pp.299-307.
https://search.emarefa.net/detail/BIM-273910
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 306-307
رقم السجل
BIM-273910
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر