Salvage surgery is always a challenging choice and must even more fulfil both oncologic requirements and quality-of-life issues. In head and neck patients, the most important goals are pain relief, preservation of breathing and deglutition, acceptable cosmetic results, and a sufficient quality of the residual life. When surgery is still considered an option, a safe, quick-recovering, and function-saving technique should be chosen. The author's experience and an illustrative case report are described.
Dallari S, Zaraca G, et al. Tracheal resection saving the previous supracricoid laryngectomy. Frontiera ORL 2016;VII(2):3–5.
Testelin S. History of microsurgical reconstruction of the mandible. Ann Chir Plast Esthet 1992;37(3):241–245.
Cordeiro PG, Santamaria E, et al. Mandibular reconstruction. In: Shah JP, Patel SG. ed. Cancer of the Head and Neck. vol. 1. BC Decker Inc; 2001. pp. 358–375.
Ferreira JJ, Zagalo CM, et al. Mandible reconstruction: history, state of the art and persistent problems. Prosthet Orthot Int 2015;39(3):182–189.
Momeni A, Kattan A, et al. Is microsurgical head and neck reconstruction profitable? Analysis at an academic medical center. Ann Plast Surg 2012;68(4):401–403.
Petruzzelli GJ, Brockenbrough JM, et al. The influence of reconstructive modality on cost of care in head and neck oncologic surgery. Arch Otolaryngol Head Neck Surg 2002;128(12):1377–1380.
Salvatori P, Paradisi S, et al. Patients’ survival after free flap reconstructive surgery of head and neck squamous cell carcinoma: a retrospective multicentre study. Acta Otorhinolaryngol Ital 2014;34:99–104.
Asamura S, Kakizaki H, et al. The Pectoralis Major Myocutaneous Pedicled Flap Revisited. Surg Sci 2013;4:380–384.
Salvatori P, Motto E, et al. Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap. Acta Otorhinolaryngol Ital 2007;27(5):227–232.
Yamada H, Nakaoka K, et al. Mandibular reconstruction using custom-made titanium mesh tray and particulate cancellous bone and marrow harvested from bilateral posterior ilia. J Plast Surg Hand Surg 2014 Jun;48(3):183–190.
Yamashita Y, Yamaguchi Y, et al. Case report. Mandibular reconstruction using a titanium mesh sheet processed by laser welding after segmental mandibulectomy for implant placement. J Oral Maxillofac Surg Med Pathol 2014;26(4):511–514.