3.Accurate tissue flap reconstruction method based on the quadratic surface developability for head and neck soft tissue defects.
Chao CHEN ; Yunfeng LIU ; Jiajie XU ; Xianfeng JIANG ; Chuanming ZHENG ; Minghua GE ; Kangjie CHENG
Journal of Biomedical Engineering 2023;40(6):1175-1184
Soft tissue defects resulting from head and neck tumor resection seriously impact the physical appearance and psychological well-being of patients. The complex curvature of the human head and neck poses a formidable challenge for maxillofacial surgeons to achieve precise aesthetic and functional restoration after surgery. To this end, a normal head and neck volunteer was selected as the subject of investigation. Employing Gaussian curvature analysis, combined with mechanical constraints and principal curvature analysis methods of soft tissue clinical treatment, a precise developable/non-developable area partition map of the head and neck surface was obtained, and a non-developable surface was constructed. Subsequently, a digital design method was proposed for the repair of head and neck soft tissue defects, and an in vitro simulated surgery experiment was conducted. Clinical verification was performed on a patient with tonsil tumor, and the results demonstrated that digital technology-designed flaps improved the accuracy and aesthetic outcome of head and neck soft tissue defect repair surgery. This study validates the feasibility of digital precision repair technology for soft tissue defects after head and neck tumor resection, which effectively assists surgeons in achieving precise flap transplantation reconstruction and improves patients' postoperative satisfaction.
Humans
;
Plastic Surgery Procedures
;
Surgical Flaps/surgery*
;
Head and Neck Neoplasms/surgery*
;
Head/surgery*
;
Neck/surgery*
8.New challenges for another 5 years--personal opinions on the development of oro-maxillofacial head and neck surgery in China.
Chinese Journal of Stomatology 2006;41(8):449-452
China
;
Facial Neoplasms
;
surgery
;
Head and Neck Neoplasms
;
surgery
;
Humans
;
Jaw Neoplasms
;
surgery
;
Mouth Neoplasms
;
surgery
9.Clinical experience with the supraclavicular flap to reconstruct head and neck defects.
Bin ZHANG ; Email: DOCBINZHANG@HOTMAIL.COM. ; Dangui YAN ; Yabing ZHANG ; Xiwei ZHANG ; Hanfeng WAN
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2015;50(6):468-472
OBJECTIVETo evaluate the efficacy of pedicled supraclavicular artery island flaps for head and neck reconstruction.
METHODSReconstructive surgeries for head and neck oncologic defects were performed with the pedicled supraclavicular artery island flaps in 10 patients from May 2013 to December 2014 and the cases were review. Among them, 6 were performed for hypopharyngeal cancer, 2 for oral tongue cancer, 1 for oral base cancer and 1 for cervical esophageal cancer. The size of the flaps was measured in (5-8) cm × (6-12) cm.
RESULTSSeven flaps survived, one flap failured and two flaps had partial necrosis. Donor sites were closed primarily without morbidity.
CONCLUSIONThe pedicled supraclavicular artery island flap is an easy harvesting and reliable for head and neck reconstruction, especially suitable for otolaryngo-head and neck surgeon and maxillofacial surgeon in the local hospital.
Arteries ; Esophageal Neoplasms ; surgery ; Head ; surgery ; Head and Neck Neoplasms ; surgery ; Humans ; Mouth Neoplasms ; surgery ; Neck ; surgery ; Reconstructive Surgical Procedures ; Surgical Flaps ; Tongue Neoplasms ; surgery ; Treatment Outcome
10.Research on neck dissection for oral squamous-cell carcinoma: a bibliometric analysis.
Zhou JIANG ; Chenzhou WU ; Shoushan HU ; Nailin LIAO ; Yingzhao HUANG ; Haoran DING ; Ruohan LI ; Yi LI
International Journal of Oral Science 2021;13(1):13-13
Neck dissection for oral squamous-cell carcinoma (OSCC) is a clinically controversial issue and has therefore been the subject of abundant research. However, no one has performed a bibliometric study on this topic to date. The aim of this study was to assess the development of research on neck dissection for OSCC in terms of the historical evolution, current hotspots and future directions, particularly including research trends and frontiers from 2010 to 2019. Literature records related to research on neck dissection for OSCC were retrieved from the Web of Science Core Collection (WoSCC). CiteSpace was used as a tool to perform a bibliometric analysis of this topic. The survey included 2 096 papers. "Otorhinolaryngology" was the most popular research area. The most active institutions and countries were Memorial Sloan Kettering Cancer Center and the USA, respectively. Shah J.P. was the most cited author. Among the six identified "core journals", Head & Neck ranked first. The top three trending keywords were 'invasion', 'upper aerodigestive' and 'negative neck'. 'D'Cruz AK (2015)' was the most cited and the strongest burst reference in the last decade. The study evaluated the effect on survival of elective versus therapeutic neck dissection in patients with lateralized early-stage OSCC. The depth of invasion and the management of N0 OSCC were research frontiers in this field. The present study provides a comprehensive bibliometric analysis of research on neck dissection for OSCC, which will assist investigators in exploring potential research directions.
Bibliometrics
;
Carcinoma, Squamous Cell/surgery*
;
Head and Neck Neoplasms
;
Humans
;
Mouth Neoplasms/surgery*
;
Neck Dissection