A New Mucosal Propeller Flap (Deep Lingual Artery Axial Propeller): The Renaissance of Lingual Flaps. Issue 3 (March 2015)
- Record Type:
- Journal Article
- Title:
- A New Mucosal Propeller Flap (Deep Lingual Artery Axial Propeller): The Renaissance of Lingual Flaps. Issue 3 (March 2015)
- Main Title:
- A New Mucosal Propeller Flap (Deep Lingual Artery Axial Propeller)
- Authors:
- Cordova, Adriana
Toia, Francesca
D'Arpa, Salvatore
Giunta, Gabriele
Moschella, Francesco - Abstract:
- Abstract : Background: Lingual flaps provide ideal mucosal coverage for intraoral defects but traditionally require two surgical stages. The authors present an axial mucosal propeller flap for single-stage intraoral reconstruction. The flap includes the mucosa of the lateral side of the tongue, islanded on the deep lingual vessels. Methods: Between 2011 and 2013, 23 patients underwent intraoral mucosal reconstruction with a deep lingual artery axial propeller flap after cancer resection in the cheek ( n = 16), floor of the mouth ( n = 2), retromolar trigone ( n = 2), hard palate ( n = 2), and soft palate ( n = 1). Mean defect size was 19.5 cm 2 . Preoperative and postoperative intraoral function was evaluated with the Functional Intraoral Glasgow Scale. Results: The authors always achieved one-stage reconstruction with primary donor-site closure. The only complications were an infection treated conservatively and a late oronasal fistula caused by radiotherapy. All patients resumed an oral diet after 1 week and none required surgical revision. Mean 12-month postoperative Functional Intraoral Glasgow Scale score was better than the preoperative score (13.5 versus 12.8). Conclusions: The deep lingual artery axial propeller flap combines the advantages of the traditional lingual flap (i.e., reliable axial vascularization and like-with-like reconstruction) with those of a propeller flap (i.e., one-stage transfer of like tissue and extreme mobility) and has wider indications thanAbstract : Background: Lingual flaps provide ideal mucosal coverage for intraoral defects but traditionally require two surgical stages. The authors present an axial mucosal propeller flap for single-stage intraoral reconstruction. The flap includes the mucosa of the lateral side of the tongue, islanded on the deep lingual vessels. Methods: Between 2011 and 2013, 23 patients underwent intraoral mucosal reconstruction with a deep lingual artery axial propeller flap after cancer resection in the cheek ( n = 16), floor of the mouth ( n = 2), retromolar trigone ( n = 2), hard palate ( n = 2), and soft palate ( n = 1). Mean defect size was 19.5 cm 2 . Preoperative and postoperative intraoral function was evaluated with the Functional Intraoral Glasgow Scale. Results: The authors always achieved one-stage reconstruction with primary donor-site closure. The only complications were an infection treated conservatively and a late oronasal fistula caused by radiotherapy. All patients resumed an oral diet after 1 week and none required surgical revision. Mean 12-month postoperative Functional Intraoral Glasgow Scale score was better than the preoperative score (13.5 versus 12.8). Conclusions: The deep lingual artery axial propeller flap combines the advantages of the traditional lingual flap (i.e., reliable axial vascularization and like-with-like reconstruction) with those of a propeller flap (i.e., one-stage transfer of like tissue and extreme mobility) and has wider indications than a conventional lingual flap. The technique is fast and has low morbidity and good functional results, and the authors recommend it as a first-choice technique to reconstruct moderate to large intraoral defects. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. Abstract : Supplemental Digital Content is available in the text. … (more)
- Is Part Of:
- Plastic and reconstructive surgery. Volume 135:Issue 3(2015:Mar.)
- Journal:
- Plastic and reconstructive surgery
- Issue:
- Volume 135:Issue 3(2015:Mar.)
- Issue Display:
- Volume 135, Issue 3 (2015)
- Year:
- 2015
- Volume:
- 135
- Issue:
- 3
- Issue Sort Value:
- 2015-0135-0003-0000
- Page Start:
- Page End:
- Publication Date:
- 2015-03
- Subjects:
- Surgery, Plastic -- Periodicals
617.95205 - Journal URLs:
- http://journals.lww.com ↗
- DOI:
- 10.1097/PRS.0000000000000956 ↗
- Languages:
- English
- ISSNs:
- 0032-1052
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6528.924000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 6380.xml