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Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy

OBJECTIVE: To demonstrate the use of an anterior belly of the digastric muscle flap (ABDMF) during transoral robotic radical tonsillectomy (TORRT) with concomitant neck dissection with the intent of preventing the formation of postoperative pharyngocutaneous fistulas. STUDY DESIGN: Retrospective stu...

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Autores principales: Daigle, Olivia, Gardner, James Reed, King, Deanne, Moreno, Mauricio Alejandro, Sunde, Jumin, Vural, Emre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8358520/
https://www.ncbi.nlm.nih.gov/pubmed/34396028
http://dx.doi.org/10.1177/2473974X211035102
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author Daigle, Olivia
Gardner, James Reed
King, Deanne
Moreno, Mauricio Alejandro
Sunde, Jumin
Vural, Emre
author_facet Daigle, Olivia
Gardner, James Reed
King, Deanne
Moreno, Mauricio Alejandro
Sunde, Jumin
Vural, Emre
author_sort Daigle, Olivia
collection PubMed
description OBJECTIVE: To demonstrate the use of an anterior belly of the digastric muscle flap (ABDMF) during transoral robotic radical tonsillectomy (TORRT) with concomitant neck dissection with the intent of preventing the formation of postoperative pharyngocutaneous fistulas. STUDY DESIGN: Retrospective study. SETTING: Single academic tertiary care center. METHODS: In this study, all patients were included who underwent TORRT plus limited pharyngectomy with concomitant neck dissection and ABDMF for the treatment of oropharyngeal squamous cell carcinoma between September 2012 and September 2020. The rate of fistula formation was assessed in patients with preemptive utilization of ABDMF. RESULTS: A total of 43 patients underwent TORRT with neck dissection and ABDMF. No patients developed a fistula in the postoperative period or associated morbidity with the use of this flap. CONCLUSION: Preemptive use of ABDMF in TORRT with concomitant neck dissection represents a reconstructive option that may help prevent the formation of pharyngocutaneous fistula by reinforcing the posteroinferior boundary of the parapharyngeal space.
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spelling pubmed-83585202021-08-13 Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy Daigle, Olivia Gardner, James Reed King, Deanne Moreno, Mauricio Alejandro Sunde, Jumin Vural, Emre OTO Open Original Research OBJECTIVE: To demonstrate the use of an anterior belly of the digastric muscle flap (ABDMF) during transoral robotic radical tonsillectomy (TORRT) with concomitant neck dissection with the intent of preventing the formation of postoperative pharyngocutaneous fistulas. STUDY DESIGN: Retrospective study. SETTING: Single academic tertiary care center. METHODS: In this study, all patients were included who underwent TORRT plus limited pharyngectomy with concomitant neck dissection and ABDMF for the treatment of oropharyngeal squamous cell carcinoma between September 2012 and September 2020. The rate of fistula formation was assessed in patients with preemptive utilization of ABDMF. RESULTS: A total of 43 patients underwent TORRT with neck dissection and ABDMF. No patients developed a fistula in the postoperative period or associated morbidity with the use of this flap. CONCLUSION: Preemptive use of ABDMF in TORRT with concomitant neck dissection represents a reconstructive option that may help prevent the formation of pharyngocutaneous fistula by reinforcing the posteroinferior boundary of the parapharyngeal space. SAGE Publications 2021-08-05 /pmc/articles/PMC8358520/ /pubmed/34396028 http://dx.doi.org/10.1177/2473974X211035102 Text en © The Authors 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Daigle, Olivia
Gardner, James Reed
King, Deanne
Moreno, Mauricio Alejandro
Sunde, Jumin
Vural, Emre
Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy
title Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy
title_full Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy
title_fullStr Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy
title_full_unstemmed Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy
title_short Preemptive Utilization of Anterior Belly of the Digastric Muscle Flaps in Transoral Robotic Radical Tonsillectomy
title_sort preemptive utilization of anterior belly of the digastric muscle flaps in transoral robotic radical tonsillectomy
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8358520/
https://www.ncbi.nlm.nih.gov/pubmed/34396028
http://dx.doi.org/10.1177/2473974X211035102
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