Surgical Approach to the Oral Cavity and Oropharyngeal Cancer; Visor Flap Approach

구강 및 구인두암의 수술적 접근방법 ; 면갑피판(Visor Flap)의 임상적 평가

  • Choi Eun-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Choi Yoon-Suk (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Kim Dong-Young (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • 최은창 (연세대학교 의과대학 이비인후과학교실) ;
  • 최윤석 (연세대학교 의과대학 이비인후과학교실) ;
  • 김동영 (연세대학교 의과대학 이비인후과학교실)
  • Published : 1999.11.01

Abstract

Objectives: Visor flap is one of the useful surgical approach to the oral cavity cancer, but the report on its specific indications, advantages and disadvantages is lacking. Material and Methods: Seven patients treated with visor flap for oral cavity and oropharyngeal cancer were reviewed. Result: Visor flap provided excellent visual field to anterior oral cavity without splitting the lip and chin skin. Postoperative cosmesis was satisfactory. One complication associating with this flap was salivary leak through gingivo-labial and gingivo-buccal suture which was successfully repaired. Conclusion: Visor flap is an excellent approach on extirpation of the oral cavity and oropharyngeal cancer in case of combining with segmental mandibulectomy. Especially it was useful for the approach to the anterior floor of the mouth and oral tongue lesion. But, it has no actual advantage over the other approaches in cases without mandibulectomy.

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