Researchers at Osaka Metropolitan University have made a groundbreaking advancement in head and neck reconstruction using a technique involving a pedicled latissimus dorsi flap.
This innovative method not only prioritizes patient safety but also significantly shortens surgical times, boasting an impressive 100% success rate across 22 challenging cases.
The Essence of the Technique
The essence of this approach lies in the transplantation of tissue while keeping its original blood supply intact.
This is especially beneficial for patients who have faced previous radiation treatments or have undergone several surgeries.
In these situations, traditional reconstruction methods that depend on free flaps may not be viable options.
By leaving the latissimus dorsi flap partially attached to its initial location, the technique ensures a steady blood flow during the transfer.
The skin segment is strategically chosen from the lower back, integrating the lateral cutaneous branch of the 10th posterior intercostal artery to promote robust circulation.
Benefits of the Flexible Technique
This flexible technique not only offers substantial coverage for defects affecting the mouth and neck but also facilitates jaw reconstruction through the inclusion of rib bone.
A comprehensive study conducted between 2003 and 2024 successfully implemented the pedicled latissimus dorsi flap on all 22 patients dealing with intricate head and neck defects.
The outcomes of this research suggest that this approach presents a dependable, quick, and minimally invasive option for reconstructing the head and neck, especially for those unable to benefit from free flap surgeries.
The team remains hopeful that their work will lead to significantly better results for patients facing these complex procedures.
Source: ScienceDaily