RESUMO
The authors report a case of the successful function-preserving treatment of a rare neck tumour, chondrosarcoma originating from the hyoid bone. The proposed combined treatment allowed to preserve the respiratory, voice-generating and protective functions of the larynx. The dynamic follow up failed to reveal the development of relapse or metastases during 1 year after surgery.
Assuntos
Neoplasias Ósseas/cirurgia , Condrossarcoma/cirurgia , Osso Hioide/patologia , Procedimentos Ortopédicos/métodos , Idoso , Feminino , HumanosAssuntos
Carcinoma de Células Escamosas/cirurgia , Neoplasias da Orelha/cirurgia , Orelha Externa , Músculos Peitorais/transplante , Procedimentos de Cirurgia Plástica/métodos , Neoplasias Cutâneas/cirurgia , Retalhos Cirúrgicos , Idoso , Carcinoma de Células Escamosas/patologia , Neoplasias da Orelha/patologia , Seguimentos , Humanos , Masculino , Neoplasias Cutâneas/patologiaRESUMO
This study included 80 patients having oncological problems in whom defects resulting from the removal of affected tissues were closed using one-step or delayed reconstruction with a m. pectoralis major flap having axial blood supply The patients of different groups were matched for the main clinical and morphological characteristics. Analysis of the results of reconstructive surgery included evaluation of the influence of specialized treatment in the preceding period (distant gamma-irradiation, chemoradiotherapy and polychemotherapy) on the oncological outcome and post-operative wound healing process after simultaneous and delayed reconstruction. Comparison of five-year survival rates in different groups revealed a tendency toward deterioration of oncological characteristics in patients undergoing one-step plastic correction. Healing success of post-operative wounds at the stage of closure of the defect was unrelated to the type of preceding specialized treatment and the mode of plastic reconstruction (simultaneous or sequential with respect to the main surgical procedure, i.e. removal of the tumour).