Giacomo Colletti1, Karim Tewfik2, Alessandro Bardazzi2, Fabiana Allevi2, Matteo Chiapasco3, Marco Mandalà4, Dimitri Rabbiosi5. 1. Assistant, Division of Maxillo-Facial Surgery, Department of Biomedical, Surgical and Dental Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy. Electronic address: giacomo.colletti@gmail.com. 2. Resident, Division of Maxillo-Facial Surgery, Department of Biomedical, Surgical and Dental Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy. 3. Head, Division of Oral Surgery, Department of Biomedical, Surgical and Dental Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy. 4. Assistant, Department of Otolaryngology, University of Verona, Verona, Italy. 5. Assistant, Division of Maxillo-Facial Surgery, Department of Biomedical, Surgical and Dental Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy.
Abstract
PURPOSE: Starting from our experience with 45 consecutive cases of regional pedicled flaps, we have underlined the effectiveness and reliability of a variety of flaps. The marketing laws as applied to surgical innovations are reviewed to help in the understanding of why regional flaps are regaining wide popularity in head and neck reconstruction. MATERIALS AND METHODS: From January 2009 to January 2014, 45 regional flaps were harvested at San Paolo Hospital to reconstruct head and neck defects. These included 35 pectoralis major muscular and myocutaneous flaps, 4 lower trapezius island or pedicled flaps, 3 supraclavicular flaps, 2 latissimus dorsi pedicled flaps, and 1 fasciocutaneous temporal flap. The basic literature of marketing regarding the diffusion of new products was also reviewed. RESULTS: Two myocutaneous pectoralis major flaps were complicated by necrosis of the cutaneous paddle (one complete and one partial). No complete loss of any of the 45 flaps was observed. At 6 months of follow-up, 2 patients had died of multiple organ failure after prolonged sepsis. The 43 remaining patients had acceptable morphologic and functional results. CONCLUSIONS: Regional and free flaps appear to compete in many cases for the same indications. From the results of the present case series, regional flaps can be considered reliable reconstructive choices that are less expensive than their free flap alternatives. The "resurrection" of regional flaps can be partially justified by the changes in the global economy and the required adaptation of developed and developing countries.
PURPOSE: Starting from our experience with 45 consecutive cases of regional pedicled flaps, we have underlined the effectiveness and reliability of a variety of flaps. The marketing laws as applied to surgical innovations are reviewed to help in the understanding of why regional flaps are regaining wide popularity in head and neck reconstruction. MATERIALS AND METHODS: From January 2009 to January 2014, 45 regional flaps were harvested at San Paolo Hospital to reconstruct head and neck defects. These included 35 pectoralis major muscular and myocutaneous flaps, 4 lower trapezius island or pedicled flaps, 3 supraclavicular flaps, 2 latissimus dorsi pedicled flaps, and 1 fasciocutaneous temporal flap. The basic literature of marketing regarding the diffusion of new products was also reviewed. RESULTS: Two myocutaneous pectoralis major flaps were complicated by necrosis of the cutaneous paddle (one complete and one partial). No complete loss of any of the 45 flaps was observed. At 6 months of follow-up, 2 patients had died of multiple organ failure after prolonged sepsis. The 43 remaining patients had acceptable morphologic and functional results. CONCLUSIONS: Regional and free flaps appear to compete in many cases for the same indications. From the results of the present case series, regional flaps can be considered reliable reconstructive choices that are less expensive than their free flap alternatives. The "resurrection" of regional flaps can be partially justified by the changes in the global economy and the required adaptation of developed and developing countries.
Authors: R Mahieu; G Colletti; P Bonomo; G Parrinello; A Iavarone; G Dolivet; L Livi; A Deganello Journal: Acta Otorhinolaryngol Ital Date: 2016-12 Impact factor: 2.124