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KMID : 0361020210640090684
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 9 p.684 ~ p.686
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Parachute Technique for Head and Neck Free-Flap Inset
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Yeou Se-Hyun
Song Yong-Jae
Lee Ju-Ho
Shin Yoo-Seob
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Abstract
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The treatment outcome of advanced squamous cell carcinoma involving the head and neck iswell known to be dire and usually needs multimodality treatment even including optimal reconstructionafter ablative surgery. When a significant area of the soft tissue is resected, reconstructionof oral cavity or pharynx needs to minimize morbidities while achieving adequatefunctional outcomes. For the better functional outcome, invasive approachingprocedures such as lip and jaw splitting, or extensive floor of mouth or pharyngeal muscle ablationshould be avoided. Without these surgical procedures, reconstructive surgeons may encountertechnical difficulties in flap inset due to deep and narrow space after head and neckcancer resection. In a deep and narrow surgical defect, accurate approximation and suture isextremely difficult. Eventually, repeated flap manipulation and stretch might be inevitable,and even pedicle kinking or injury could happen. Herein, we suggested the “parachute” technique,which was generally used in blood vessels or aortic valve suturing in a narrow surgicalfield and for avoiding mismatched suture. We applied this “parachute” technique for free-flapinset to head and neck defect, and we herein report our successful outcomes.
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KEYWORD
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Free-flap, Head and neck cancer, Inset, Parachute technique
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