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Occipital Artery-Based Fascio-Cutaneous Pedicle Flap in Reconstruction of Head and Neck Defects: A Saviour Under Challenging Times

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Head and Neck cancer management has undergone many changes in the past few decades. Primarily advancements in reconstructive surgery for complex head and neck defects after extensive ablative surgeries. Many factors need to be considered in deciding the type of reconstruction. Any reconstruction is not without complications. We wish to present the reconstructive challenges we faced in recent times to reconstruct composite head and neck defects, situation where a salvage flap has to be chosen in a failed regional flap. An occipital artery-based pedicled fascio cutaneous flap is one such rescuer flap. It is a retrospective study of case records from January 2018 to January 2021 at our institute. Reviewed the clinical data of Cases in which occipital artery-based flap was used to reconstruct the composite head and neck defects. In the era of microvascular flap reconstruction, utilization of regional flaps is still a choice of reconstruction in the resource constraint setting. A less explored occipital artery-based flap is a reliable regional flap can be used in select cases with a good success.

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Authors and Affiliations

  1. Departement of Oto-Rhino-Laryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India

    Abhinav Thaduri, Amit Kumar, Amit Kumar Tyagi, Dilip Dungala Maharaj, Bhinyaram Jat, Abhijeet Singh & Achyuth Panuganti

  2. Departement of Head and Neck Oncology, Acharya Harihar Post Graduate Institute of Cancer, Cuttack, Odisha, India

    Ashutosh Hota

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  1. Abhinav Thaduri
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  2. Ashutosh Hota
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  3. Amit Kumar
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  4. Amit Kumar Tyagi
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  5. Dilip Dungala Maharaj
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  6. Bhinyaram Jat
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  7. Abhijeet Singh
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  8. Achyuth Panuganti
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Correspondence to Bhinyaram Jat.

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Thaduri, A., Hota, A., Kumar, A. et al. Occipital Artery-Based Fascio-Cutaneous Pedicle Flap in Reconstruction of Head and Neck Defects: A Saviour Under Challenging Times. Indian J Otolaryngol Head Neck Surg 75, 261–265 (2023). https://doi.org/10.1007/s12070-022-03225-8

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  • DOI: https://doi.org/10.1007/s12070-022-03225-8

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