FREE FULL TEXTAnahtar Kelimeler: Latissimus dorsi; kas deri flebi; rekonstrüksiyon.
Objectives: To compare and contrast the use of the
latissimus dorsi myocutaneous flap in complex head
and neck defects requiring major reconstructive surgery
with respect to the other reconstruction techniques, and
to emphasize the importance of this flap as an life and
surgeon-saving reconstruction modality.
Patients and Methods: In this study, 20 cases (17 males,
3 females; mean age 58.5 years; range 48 to 72 years)
of major head and neck operations reconstructed with a
latissimus dorsi myocutaneous flap in İstanbul University,
İstanbul Medical Faculty, Ear, Nose and Throat Clinic
between October 2004 and November 2006 were retrospectively
examined. The latissimus dorsi myocutaneous
flap was prefered as a primary reconstructive modality in
eight of the cases and a secondary reconstructive modality
in the remaining 12 cases. The reasons for choosing
the latissimus dorsi myocutaneous flap as the reconstructive
modality were examined in this study and compared
with other reconstruction techniques.
Results: Partial flap necrosis was observed in four of the
20 cases. In two of these unsuccessful cases, minor intervention
was sufficient to achieve functionally satisfactory
results. However, one case with partial flap necrosis was
lost due to the uncontrollable primary disease. In the one
remaining case who had undergone cranioplasty, partial
necrosis of the flap developed after the completion of
radiotherapy in the 4th postoperative month. No total flap
necrosis was encountered in any of the cases.
Conclusion: The latissimus dorsi myocutaneous flap is
a reconstructive modality with a high success rate and
should be considered among reconstruction alternatives.