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Vol. 71. Issue 5.
Pages 281-288 (September - October 2020)
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Vol. 71. Issue 5.
Pages 281-288 (September - October 2020)
Original article
DOI: 10.1016/j.otoeng.2019.10.002
Reconstruction Using Facial Artery System-based Flaps. One Vascular System for Multiple Purposes in Head and Neck Reconstructive Surgery
Reconstrucción mediante colgajos basados en el sistema de la arteria facial. Un sistema vascular para múltiples usos en cirugía reconstructiva de cabeza y cuello
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Jose A. Gonzalez-Garcia
Corresponding author
, Carlos M. Chiesa-Estomba, Izaskun Thomas-Arrizabalaga, Ekhiñe Larruscain, Jon A. Sistiaga, Leire Alvarez, Xabier Altuna
Unidad de Cirugía Oncológica y Reconstructiva de Cabeza y Cuello, Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello, Hospital Universitario Donostia, Donostia/San Sebastián, Gipuzkoa, Spain
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Tables (2)
Table 1. Facial Artery System-based Flaps Available for the Reconstruction of Oral Cavity or Oropharynx Defects.
Table 2. Reconstructive Surgery Procedures of the Oral Cavity or of the Oropharynx Using Facial Artery System-based Flaps.
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Abstract
Objective

To review the modifications and advances in reconstructive surgery of the soft tissues of the oral cavity exclusively based on flaps that depend on the facial artery system.

Methods

Review of the literature regarding oral cavity reconstructions based on main facial artery system flaps.

Discussion

The reconstruction of the soft tissues of the oral cavity, based on facial artery system flaps, offers satisfactory results and allows limited reconstructions avoiding the use of pedicled regional flaps or free flaps.

Conclusions

Knowledge of reconstructive options using the facial artery system in oral cavity surgery allows expanding reconstructive options for head and neck surgeons, enabling safe, high quality and effective reconstructions, with limited resources consumption.

Keywords:
Head and neck reconstruction
Oral cavity
Mouth
Surgical flaps
Island flaps
Oral cancer
Reconstructive surgical procedures
Resumen
Introducción

El objetivo del siguiente trabajo es la revisión de las modificaciones y avances en cirugía reconstructiva de tejidos blandos de la cavidad oral basándonos exclusivamente en los principales colgajos que dependen de arterias nominadas del sistema de la arteria facial.

Métodos

Revisión de la literatura y la experiencia propia respecto a reconstrucciones de cavidad oral basadas en colgajos del sistema de la arteria facial.

Discusión

La reconstrucción de la cavidad oral basada en colgajos dependientes del sistema de la arteria facial ofrece resultados satisfactorios y permite realizar reconstrucciones limitadas evitando la utilización de colgajos pediculados regionales o de colgajos libres.

Conclusiones

El conocimiento de las opciones reconstructivas utilizando el sistema de la arteria facial en cirugía de la cavidad oral permitirá a los cirujanos de cabeza y cuello ampliar las opciones de reconstrucción, adaptar de forma efectiva las reconstrucciones a los defectos quirúrgicos, permitiendo un abordaje de alta calidad, seguro y con menor consumo de recursos.

Palabras clave:
Reconstrucción de cabeza y cuello
Cavidad oral
Boca
Colgajos quirúrgicos
Colgajos en isla
Cáncer oral
Procedimientos reconstructivos quirúrgicos

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