Use of the keystone island flap for advanced head and neck cancer in the elderly – a principle of amelioration

Summary Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction. The keystone flap approach is an alternate reconstructive technique with a range of benefits for the aging population. This publicatio...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-05, Vol.63 (5), p.739-745
Main Authors: Behan, Felix, Sizeland, Andrew, Gilmour, Fraser, Hui, Andrew, Seel, Matthew, Lo, Cheng Hean
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
Cancer
Elderly
Female
Follow-Up Studies
Head and neck
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - surgery
Humans
Keystone island flap
Male
Medical sciences
Neck Dissection - methods
Neoplasm Staging
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Plastic Surgery
Reconstructive Surgical Procedures - methods
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Time Factors
Treatment Outcome
Tumors
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Summary:Summary Traditional management strategies of advanced head and neck cancer in the elderly include palliation and radical resection with microsurgical reconstruction. The keystone flap approach is an alternate reconstructive technique with a range of benefits for the aging population. This publication presents a series of elderly patients with head and neck cancer who underwent resection and reconstruction using the keystone flap principles. The aim is to demonstrate the value of this reconstructive technique in the various anatomical regions of the head and neck. Various operative sequences are accompanied by illustrations and discussions of the underlying principles.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2009.01.079