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Date Published: 07/12/2023
Abstract Views: 177
Views PDF: 110
DOI: https://doi.org/10.51298/vmj.v532i1B.7516
Issue
Vol. 532 No. 1B (2023)
Section
Các bài báo
How to Cite
Hà, T. T. T., Tống, X. T., & Bùi, M. A. (2023). EARLY OUTCOMES OF MANDIBULOTOMY APPROACH FOR ORAL AND OROPHARYNGEAL SQUAMOUS CELL CARCINOMA SURGERY WITH THE USING OF ANTEROLATERAL THIGH FREE FLAP FOR RECONSTRUCTION. Vietnam Medical Journal, 532(1B). https://doi.org/10.51298/vmj.v532i1B.7516

EARLY OUTCOMES OF MANDIBULOTOMY APPROACH FOR ORAL AND OROPHARYNGEAL SQUAMOUS CELL CARCINOMA SURGERY WITH THE USING OF ANTEROLATERAL THIGH FREE FLAP FOR RECONSTRUCTION

Thị Thu Trang Hà1,, Xuân Thắng Tống1,2, Mai Anh Bùi3
1 HMU
2 Central Ear, Nose and Throat Hospital
3 Viet Duc Friendship Hospital

Main Article Content

Abstract

Objectives: To evaluate the early outcomes of mandibulotomy approach for oral and oropharyngeal squamous cell carcinoma (SCC) surgery with the using of anterolateral thigh free flap for reconstruction. Materials: 19 patients were diagnosised oral and oropharyngeal SCC who underwent transmadibular approach for oncological surgery and reconstruction using the anterolateral thigh free flap. Results: Mean age 56 ± 9 years, the most common age group is 40-70 years old. There are 18 males and 1 females, most had a history of tobacco and alcohol use for many years. The most common clinical symptom is swallowing disorders: dysphagia 100%, odynophagia 100%. The most commom sites were the tonsil (47.4%) and the oral tongue (36.8%). Stage T3 accounted for 63.2%, stage IVA and stage III accounted for 42.1% and 36.8%. General postsurgical complications are 47.4%, including infection 36.8%, bleeding 10.5%. Surgical results: good tumor resection 94.7%, good survival and coverage flap 94.4%,  good functions 72.2%, mandibular bone disorders 0%. Conclusion: Transmandibular approach provides ideal method to access late-stage oral cavity and oropharyngeal cancer for extensive resection, good control of complications, convevient for the reconstruction.

Article Details

Keywords

oral cancer, oropharyngeal cancer, mandibulotomy, anterolateral thigh flap.

References

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