Journal article
Oronasal reconstruction with local mucoperiosteal and free latissimus dorsi flaps
Archives of otolaryngology--head & neck surgery, Vol.118(11), pp.1238-1241
11/1992
DOI: 10.1001/archotol.1992.01880110106019
PMID: 1418904
Abstract
We describe the use of maxillary sinus mucoperiosteum as a pedicled flap to reconstruct the floor of the nose following resection of cancer involving the palate, buccal mucosa, and mandible. Complete inferior turbinectomy allows access to the roof of the maxillary sinus to harvest the mucoperiosteum as a vascularized flap pedicled under the remaining middle turbinate. A free latissimus dorsi myocutaneous flap suspended from the floor of the orbit and nasal septum is then used to obliterate the maxillary sinus, reconstruct the palate, and support the floor of the nose. A reconstruction employing this combination of flaps is presented, including postoperative endoscopic intranasal photography and magnetic resonance imaging. Despite the elevated level of the floor of the nose and the absence of the inferior turbinates, rhinomanometry performed 3 months postoperatively demonstrates adequate nasal airflow with normal responses to nasal decongestants.
Details
- Title: Subtitle
- Oronasal reconstruction with local mucoperiosteal and free latissimus dorsi flaps
- Creators
- H T Hoffman - Department of Otolaryngology, University of Iowa, Iowa CityA A JalowayskiK T RobbinsJeffrey Feldman
- Resource Type
- Journal article
- Publication Details
- Archives of otolaryngology--head & neck surgery, Vol.118(11), pp.1238-1241
- DOI
- 10.1001/archotol.1992.01880110106019
- PMID
- 1418904
- NLM abbreviation
- Arch Otolaryngol Head Neck Surg
- ISSN
- 0886-4470
- eISSN
- 1538-361X
- Publisher
- American Medical Association; United States
- Language
- English
- Date published
- 11/1992
- Academic Unit
- Radiation Oncology; Otolaryngology
- Record Identifier
- 9984006458602771
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