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Stomatologija 2018; 20 (2): 39-42 74 KB

Microsurgical reconstruction of oral defects with free flaps for patients with oral cancer: an 8 year experience with 153 consecutive cases

Kalvis Pastars¹, Janis Zarins¹, Juris Tars², Anna Ivanova³, Andrejs Skagers⁴

Summary

Objective. Oral squamous cell carcinoma (OSCC) is a common type of cancer affecting people worldwide, with still large proportion of patients diagnosed with the disease in the advanced stage. Due to free vascularised tissue transfers, radical cancer treatment and immediate reconstruction are feasible as a one-stage procedure. The aim of this paper is to evaluate retrospectively our experience with free flap reconstruction of oral defects for patients with oral malignancies in advanced stages.

Material and Methods. During the 8-year period, 153 patients with oral cancer had undergone simultaneous extirpation of tumor with or without suspicious lymph node removal and reconstruction of the defect with free flap. A total of 157 free-flap reconstructions had been performed for 153 patients. Accordingly, 116 patients had reconstruction of oral soft tissue defect, but 37 patients had complex soft tissue and bone defect reconstruction.

Results. 132 patients had successful free flap surgery with uneventful post surgery period. Flap success rate was 96.8%. Donors site was closed primarily in 58 cases, skin graft was used in 102 cases. Five patients (3.2%) died during post surgery period. Average hospital stay was 20,5 days (from 8 till 44 days). There was no statistically significant correlation found between the patient’s age and hospital stay, but hospital stay increased with tumor size (p>0.05).

Conclusion. The application of the best possible reconstruction method that contributes to the fulfillment of expectations and provision of a good functional and esthetical result is enabled by setting proper, realistic reconstruction goals. Microvascular reconstruction with free flaps for oral defects is a safe method with a very high success rate (96.8%).

Key words: oral cancer, oral reconstruction, free flap.

Received: 26 06 2017

Accepted for publishing: 25 06 2018

¹Microsurgery Centre of Latvia, Riga East University Hospital, Riga, Latvia

²Department of Head and Neck Oncology, Latvian Oncology Centre, Riga East University Hospital, Riga, Latvia

³Department of Maxillo Facial Surgery, Pauls Stradins Clinical University Hospital, Riga, Latvia

⁴Department of Oral and Maxillofacial Surgery, Riga Stradins University, Riga, Latvia

Address correspondence to Kalvis Pastars, Microsurgery Centre of Latvia, Riga East University Hospital, Brivibas gatve 410, Riga, LV-1024, Latvia.

E-mail address: kalvis.pastars@mcl.lv



	Baltic Dental and Maxillofacial Journal

June, 2018, Vol. 20, No. 2 CONTENTS SCIENTIFIC ARTICLES Microsurgical reconstruction of oral defects with free flaps for patients with oral cancer: an 8 year experience with 153 consecutive cases Kalvis Pastars, Janis Zarins, Juris Tars, Anna Ivanova, Andrejs Skagers 39-42 Influence of glass fibre post cementation depth on dental root fracture Miglė Jakubonytė, Kęstutis Česaitis, Jonas Junevičius 43-48 Epidemiology of primary oral cancer diagnostics in Kaunas Rokas Gelažius, Albinas Gervickas, Ričardas Kubilius 49-53 REVIEWS PEEK polymer’s properties and its use in prosthodontics. A review Gediminas Skirbutis, Agnė Dzingutė, Viltė Masiliūnaitė, Gabrielė Šulcaitė, Juozas Žilinskas 54-58 CASE REPORT Maxillofacial Radiographic study of Gardner’s syndrome presenting with odontogenic myxoma: A rare case report Loutfi Salti, Michael Rasse, Khaled Al-ouf 59-64 © 2018 Stomatologija		Stomatologija 2018; 20 (2): 39-42 74 KB Microsurgical reconstruction of oral defects with free flaps for patients with oral cancer: an 8 year experience with 153 consecutive cases Kalvis Pastars¹, Janis Zarins¹, Juris Tars², Anna Ivanova³, Andrejs Skagers⁴ Summary Objective. Oral squamous cell carcinoma (OSCC) is a common type of cancer affecting people worldwide, with still large proportion of patients diagnosed with the disease in the advanced stage. Due to free vascularised tissue transfers, radical cancer treatment and immediate reconstruction are feasible as a one-stage procedure. The aim of this paper is to evaluate retrospectively our experience with free flap reconstruction of oral defects for patients with oral malignancies in advanced stages. Material and Methods. During the 8-year period, 153 patients with oral cancer had undergone simultaneous extirpation of tumor with or without suspicious lymph node removal and reconstruction of the defect with free flap. A total of 157 free-flap reconstructions had been performed for 153 patients. Accordingly, 116 patients had reconstruction of oral soft tissue defect, but 37 patients had complex soft tissue and bone defect reconstruction. Results. 132 patients had successful free flap surgery with uneventful post surgery period. Flap success rate was 96.8%. Donors site was closed primarily in 58 cases, skin graft was used in 102 cases. Five patients (3.2%) died during post surgery period. Average hospital stay was 20,5 days (from 8 till 44 days). There was no statistically significant correlation found between the patient’s age and hospital stay, but hospital stay increased with tumor size (p>0.05). Conclusion. The application of the best possible reconstruction method that contributes to the fulfillment of expectations and provision of a good functional and esthetical result is enabled by setting proper, realistic reconstruction goals. Microvascular reconstruction with free flaps for oral defects is a safe method with a very high success rate (96.8%). Key words: oral cancer, oral reconstruction, free flap. Received: 26 06 2017 Accepted for publishing: 25 06 2018 ¹Microsurgery Centre of Latvia, Riga East University Hospital, Riga, Latvia ²Department of Head and Neck Oncology, Latvian Oncology Centre, Riga East University Hospital, Riga, Latvia ³Department of Maxillo Facial Surgery, Pauls Stradins Clinical University Hospital, Riga, Latvia ⁴Department of Oral and Maxillofacial Surgery, Riga Stradins University, Riga, Latvia Address correspondence to Kalvis Pastars, Microsurgery Centre of Latvia, Riga East University Hospital, Brivibas gatve 410, Riga, LV-1024, Latvia. E-mail address: kalvis.pastars@mcl.lv