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Réparation par lambeaux libres en cancérologie des voies aérodigestives supérieures

Free flaps in reconstruction for head and neck cancer

  • Synthèse / Review Article
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Oncologie

Abstract

Head and neck reconstructive surgery is a very important part of the multidisciplinary approach to patients with HNSCC. Use of free flaps constitutes a very important advance since the 1980s for surgical patients, especially in terms of functional outcomes and quality of life. Numerous free flaps are now available to repair any type of loss of substance: tegumentary, bone, muscular. Their reliability is reported as over 90% in international published surveys.

Résumé

La chirurgie reconstructive fait partie intégrante de la prise en charge multidisciplinaire des patients atteints de cancers de la tête et du cou. L’avènement des lambeaux libres microanastomosés dans ce domaine a permis une amélioration importante des résultats en terme fonctionnel et en qualitéde vie des patients opérés en premiè re intention ou après échec des traitements non chirurgicaux. De nombreux types de lambeaux sont à notre disposition pour réparer tous types de perte de substance: tégumentaires, musculaires, osseuses ou combinés. Leur fiabilitéest importante, supérieure à 90 % dans les séries internationales publiées.

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Correspondence to O. Dassonville.

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Dassonville, O., Poissonnet, G., Santini, J. et al. Réparation par lambeaux libres en cancérologie des voies aérodigestives supérieures. Oncologie 11, 147–151 (2009). https://doi.org/10.1007/s10269-008-1030-0

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  • DOI: https://doi.org/10.1007/s10269-008-1030-0

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