Resection and simultaneous reconstruction with free flaps of wide tumours of the scalp and posterior neck region are difficult to perform through a single surgical approach. in such cases, the park-bench position -a lateral oblique position -could allow simultaneous resection and reconstruction of tumours of the scalp and occipital region without changing the patient's position. in the case described here, this posi-tion was used to treat microcystic adnexal carcinoma in a patient who presented with three scalp lesions and a lesion of the right scapular region. This arrangement allowed both resection and reconstruction with a microvascular flap without changing the patient's position, as a result of being able to find neck vessels suitable for microanastomosis. reconstruction was carried out using a right latissimus dorsi myogenous and subcutaneous flap, and anastomoses were created between the thoracodorsal artery and vein, and the transverse cervical artery and vein. in this position, transverse cervical vessels are well placed, with good exposure, and are in an optimal location for use in microvascular surgery. At 8 months post-reconstruction, the patient was in good condition without local recurrence or distant metastases, and the flap showed a good lining and contour. in conclusion, the park-bench position facilitates surgical excision, flap harvesting and microsurgery in the same patient position.

The park-bench position in cervico-facial reconstructive surgery: a technical note = La posizione park-bench in chirurgia ricostruttiva cervico-facciale: nota tecnica / A. Baj, P. Capparé, L. Autelitano, G. De Riu, G.A. Beltramini, E. Segna, A.B. Giannì. - In: ACTA OTORHINOLARYNGOLOGICA ITALICA. - ISSN 0392-100X. - 33:2(2013), pp. 129-132.

The park-bench position in cervico-facial reconstructive surgery: a technical note = La posizione park-bench in chirurgia ricostruttiva cervico-facciale: nota tecnica

A. Baj;P. Capparé;G.A. Beltramini;A.B. Giannì
2013

Abstract

Resection and simultaneous reconstruction with free flaps of wide tumours of the scalp and posterior neck region are difficult to perform through a single surgical approach. in such cases, the park-bench position -a lateral oblique position -could allow simultaneous resection and reconstruction of tumours of the scalp and occipital region without changing the patient's position. in the case described here, this posi-tion was used to treat microcystic adnexal carcinoma in a patient who presented with three scalp lesions and a lesion of the right scapular region. This arrangement allowed both resection and reconstruction with a microvascular flap without changing the patient's position, as a result of being able to find neck vessels suitable for microanastomosis. reconstruction was carried out using a right latissimus dorsi myogenous and subcutaneous flap, and anastomoses were created between the thoracodorsal artery and vein, and the transverse cervical artery and vein. in this position, transverse cervical vessels are well placed, with good exposure, and are in an optimal location for use in microvascular surgery. At 8 months post-reconstruction, the patient was in good condition without local recurrence or distant metastases, and the flap showed a good lining and contour. in conclusion, the park-bench position facilitates surgical excision, flap harvesting and microsurgery in the same patient position.
Park-bench position; Maxillofacial; Free flap; Scalp reconstruction
Settore MED/29 - Chirurgia Maxillofacciale
http://www.actaitalica.it/issues/2013/2-2013/10-baj.pdf
Article (author)
File in questo prodotto:
File Dimensione Formato  
0392-100X-33-129.pdf

accesso riservato

Tipologia: Publisher's version/PDF
Dimensione 232.17 kB
Formato Adobe PDF
232.17 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/590707
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 3
social impact