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Pedicled latissimus dorsi myocutaneous flap in the reconstruction of the head and neck region: Experience with 17 patients

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dc.contributor.authorYildiz, KEMALETTİN
dc.contributor.authorKAYAN, Resit Burak
dc.contributor.authorGuneren, ETHEM
dc.contributor.institutionauthorYILDIZ, KEMALETTİN
dc.contributor.institutionauthorGÜNEREN, ETHEM
dc.date.accessioned2019-10-05T21:08:47Z
dc.date.available2019-10-05T21:08:47Z
dc.date.issued2017-07-01
dc.description.abstractObjective: To assess the efficacy of a modified pedicled latis-simus dorsi myocutaneous flap (LDMF) in the reconstruction of defects of the head and neck region. Methods: The retrospective analysis of 17 consecutive patients operated between 2010 and 2014 in the Plastic and Reconstructive Surgery Department of a tertiary care center was performed. Among them, four (23.5%) were initially diagnosed with trauma, while 13 (76.5%) had squamous cell carcinoma originating from the head and neck region. Tumor recurrence, necrosis of the free flap, advanced age, presence of a comorbidity, and previous history of radiotherapy were indicators for a pedicled LDMF. The pedicled LDMF technique was performed via the modified subcutaneous tunnel method in all patients. Demographic, clinical, and peroperative data as well as complications in and a survey of our patients were documented. Results: Our series comprised 11 males (64.7%) and six females (35.3%); the average age was 64.29 +/- 5.43 (range, 51 to 72) years. Seroma (5/17, 29.4%) and partial flap necrosis (3/17, 17.6%) were the most common complications, while the rate of mortality during the follow-up period was 17.6% (3/17). One patient died during the early postoperative period, while two died during their oncological treatment and follow-up. No remarkable functional disabilities or restrictions were postoperatively observed. Conclusion: Our results showed that a pedicled LDMF can constitute a safe and effective alternative for the reconstruction of head and neck defects in selected patients. However, further controlled clinical trials on larger series are warranted to precisely unveil the indications, contraindications, and outcomes of a pedicled LDMF.
dc.identifier10.5152/balkanmedj.2015.15912
dc.identifier.citationYildiz K., KAYAN R. B. , Guneren E., -Pedicled latissimus dorsi myocutaneous flap in the reconstruction of the head and neck region: Experience with 17 patients-, BEZMIALEM SCIENCE, cilt.5, ss.101-106, 2017
dc.identifier.doi10.14235/bs.2017.961
dc.identifier.trdizin259250
dc.identifier.urihttps://hdl.handle.net/20.500.12645/6600
dc.identifier.wosWOS:000418240100003
dc.language.isoen
dc.subjectLatissimus dorsi
dc.subjectpedicle
dc.subjectmyocutaneous flap
dc.subjecthead and neck
dc.subjectreconstruction
dc.titlePedicled latissimus dorsi myocutaneous flap in the reconstruction of the head and neck region: Experience with 17 patients
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameBALKAN MEDICAL JOURNAL
local.avesis.ida46e3d94-a1c7-4a55-b2b6-fc648defe6a0
local.avesis.response6476
local.publication.isinternational1
relation.isAuthorOfPublicationbd0fa92f-28bd-4264-b553-1e6c3957cf7b
relation.isAuthorOfPublication06cb67b1-9bec-4e11-a6ed-503dc70e3da8
relation.isAuthorOfPublication.latestForDiscoverybd0fa92f-28bd-4264-b553-1e6c3957cf7b
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