Oral Kavite Tümörlerinde Submental Ada Flebi ile Rekonstrüksiyon: Güncel Yaklaşımda Avantajlar ve Dezavantajlar

Year 2022, Volume: 5 Issue: 3, 404 - 412, 31.12.2022

Çağlar Eker

https://doi.org/10.36516/jocass.1171399

Abstract

Giriş: Oral kavite, baş boyun kanserlerinin en sık görüldüğü bölgedir. İlk basamak tedavisi cerrahi olan bu kanserlerin, rezeksiyonu sonrası oluşan defektlerin rekonstrüksiyonu karmaşık bir süreçtir. Bunun için altın standart yaklaşım mikrovasküler serbest fleptir. Bununla birlikte, uzun süreli cerrahiye uygun olmayan yaşlı, kötü beslenmesi olan, ek komorbit hastalıkları olan hastalarda pediküllü flep kullanımı değerli bir seçenek olmaya devam etmektedir.
Tartışma: Submental ada flebi oral kavite rekonstrüksiyonlarında yaygın olarak kullanılmaktadır. Hastaların yutma ve konuşma fonksiyonları, genel ve lokal nüks oranları için serbest fleplerle submental ada flebi arasında anlamlı farklılık saptanmamıştır. Ayrıca submental ada flebi daha kısa ameliyat süresi, daha kısa hastanede kalış süresi ve dönor sahada daha az komplikasyon sayısı gibi önemli avantajlara sahiptir.
Sonuç: Submental ada flebi özellikle mikrovasküler cerrahi için zayıf aday olan hastalarda tümör rezeksiyonu sonrası onkolojik sonuçlardan ödün vermeden oral kavite defektlerinin rekonstrüksiyonu için uygun bir seçenektir.

Keywords

Oral kavite tümörü, submental ada flebi, rekonstrüksiyon

Submental Island Flap Reconstruction in Oral Cavity Tumors: Advantages and Disadvantages in the Current Approach

Abstract

İntroduction: Reconstruction of defects emerged after resection of these cancers, whose first-line treatment is surgical, is a complex process. The gold standard approach for this is the microvascular free flap. However, the use of pedicle flap remains a valuable option in elderly patients who are not suitable for long-term surgery, have poor nutrition, and have additional comorbid diseases.
Discussion: Submental island flap, is widely used in oral cavity reconstructions. There was no significant difference between free flaps and submental island flaps for swallowing and speech functions, general and local recurrence rates. In addition, submental island flap has important advantages such as shorter operation time, shorter hospital stay, and fewer complications in the donor area.
Conclusion: Submental island flap is a suitable option for the reconstruction of oral cavity defects without compromising oncologic results after tumor resection, especially in patients who are poor candidates for microvascular surgery.

Keywords

Oral cavity tumor, submental island flap, reconstruction

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