Rekonstruksi Pasca Ablasi Tumor Kepala dan Leher dengan Teknik Chimeric Flap

Medisa Primasari; Sitti Rizaliyana

doi:10.24843/JBN.2021.v05.i02.p04

Medisa Primasari Departemen Bedah Plastik Rekonstruksi dan Estetik Universitas Airlangga
Sitti Rizaliyana Spesialis Bedah Plastik Rekonstruksi dan Estetik Konsultan Hand and Microsurgery Departemen Bedah Plastik Rekonstruksi dan Estetik

DOI: https://doi.org/10.24843/JBN.2021.v05.i02.p04

Abstract

Keganasan pada kepala dan leher yang meliputi laring, kavitas oral dan orofaring, menempati urutan ke-enam jenis keganasan yang paling sering terjadi di dunia, di mana ?90% berasal dari sel skuamosa. Rekonstruksi pasca ablasi tumor menjadi hal yang menantang karena defek yang dihasilkan pasca ablasi tumor pada kepala-leher seringkali melibatkan struktur jaringan yang kompleks pada lokasi yang tidak berdekatan. Saat ini, chimeric flap menjadi pilihan dalam rekonstruksi defek pasca ablasi tumor karena flap ini mampu menyediakan variasi jaringan untuk defek multipel namun dengan satu tahap operasi. Beberapa pilihan chimeric flap yang dapat digunakan dalam rekonstruksi defek kepala dan leher adalah flap anterolateral thigh (ALT), flap sistem pembuluh darah subskapula, flap sistem pembuluh darah peroneal, flap temporoparietal, dan flap sistem pembuluh darah thoracoacromial.

Downloads

Download data is not yet available.

References

1. Parkin DM, Bray F, Ferlay J, dkk. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55:74-108.
2. Longo B, Nicolotti M, Ferri G, Belli E, Santanelli F. Sagittal split osteotomy of the fibula for modeling the new mandibular angle. J Craniofac Surg. 2013;24:71-4.
3. Prasetyono TH. Flap: Penuntun Dasar Ilmu Bedah Plastik. Jakarta: Sagung Seto; 2011.
4. Jiang C, Guo F, Li N, dkk. Multipaddled anterolateral thigh chimeric flap for reconstruction of complex defects in head and neck. PLoS One. 2014;9:e106326.
5. Weizman N, Gil Z, Wasserzug O, dkk. Surgical ablation and free flap reconstruction in children with malignant head and neck tumors. Skull Base. 2011;21:165-70.
6. Hallock GG, Ahmadzadeh R, Morris SF. Classification of flap. Dalam: Wei F, Mardini S, penyunting. Flaps and Reconstructive Surgery, 2nd ed. Edinburg: Elsevier; 2017. h. e7.
7. Johnson NW, Warnakulasuriya S, Gupta PC, dkk. Global oral health inequalities in incidence and outcomes for oral cancer: causes and solutions. Adv Dent Res. 2011;23:237-46.
8. Stenson KM. Epidemiology and risk factors for head and neck cancer up to date. UpToDate [serial online] 2018 [diakses 17 Desember 2019]. Diunduh dari: https://www.uptodate.com/contents/epidemiologyand-risk-factors-for-head-and-neck-cancer.
9. Hayes DN, Van Waes C, Seiwert TY. Genetic Landscape of Human Papillomavirus-Associated Head and Neck Cancer and Comparison to Tobacco-Related Tumors. J Clin Oncol. 2015;33:3227-34.
10. Bruce JP, Yip K, Bratman SV, dkk. Nasopharyngeal Cancer: Molecular Landscape. J Clin Oncol. 2015;33:3346-55.
11. Schiff BA. Overview of head and neck tumors. Merck Manual Professional Version. [serial online] 2018 [diakses 17 Desember 2019]. Diunduh dari https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/tumors-of-the-head-and-neck/overview-of-head-and-neck-tumors.
12. Chana JS, Odili J. Perforator flaps in head and neck reconstruction. Semin Plast Surg. 2010;24:237-54.
13. Wei FC, Jain V, Suominen S, dkk. Confusion among perforator flaps: what is a true perforator flap? Plast Reconstr Surg. 2001;107:874-6.
14. Liu ZM, Wu D, Liu XK, dkk. Reconstruction of through-and-through cheek defects with folded free anterolateral thigh flaps. J Oral Maxillofac Surg. 2013;71: 960-4.
15. Yang KC, Leung JKW, Chen JS. Double-paddle peroneal tissue transfer for oromandibular reconstruction. Plast Reconstr Surg. 2000;106:47-55.
16. Cheng MH, Saint-Cyr M, Ali RS, dkk. Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects. Head Neck. 2009;31:361-70.
17. Choi N, Cho JK, Jang JY, dkk. Scapular Tip Free Flap for Head and Neck Reconstruction. Clin Exp Otorhinolaryngol. 2015;8:422-9.
18. L'Heureux-Lebeau B, Odobescu A, Harris PG, dkk. Chimaeric subscapular system free flap for complex oro-facial defects. J Plast Reconstr Aesthet Surg. 2013;66:900-5.
19. Silva AK, Humphries LS, Maldonado AA, dkk. Chimeric vs composite flaps for mandible reconstruction. Head Neck. 2019;41:1597-604.
20. Disa JJ, Matros E. Mandible Reconstruction. Dalam: Thorne CH, Gurtner GC, Chung KC, dkk, penyunting, Grabb and Smith's Plastic Surgery, 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2014. h. 412.
21. Huang ST, Liu WC, Chen LW, dkk. Oromandibular reconstruction with chimeric double-skin paddle flap based on peroneal vessel axis for synchronous opposite double oral cancer. Ann Plast Surg. 2015;74 Suppl 2:S132-8.
22. Qing L, Wu P, Yu F, dkk. Sequential chimeric deep circumflex iliac artery perforator flap and flow-through anterolateral thigh perforator flap for one-stage reconstruction of complex tissue defects. J Plast Reconstr Aesthet Surg. 2019;72:1091-9.
23. Jose A, Nagori SA, Arya S, dkk. Chimeric temporopareital osteofascial and temporalis muscle flap; a novel method for the reconstruction of composite orbito-maxillary defects. J Stomatol Oral Maxillofac Surg. 2019;120:250-4.
24. Song D, Pafitanis G, Pont LEP, dkk. Chimeric thoracoacromial artery perforator flap for one-staged reconstruction of complex pharyngoesophageal defects: A single unit experience. Head Neck. 2018;40:302-11.