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Disa et al,

Plast Reconstr Surg 2003

Urken, Atlas of Regional and Free Flaps for Head

and Neck Reconstruction 2011

Type 0

minimal defects - amenable to primary closure

minimal defects - amenable to primary closure

Type I

< 50% -

NOT amenable to primary closure

non-circumferential

defect, minimum of 2 cm in width,

with a viable strip of mucosa

Type II

> 50%

circumferential

defect extended no further cephalad

than the level of the vallecula

Type III

other anatomical regions

(nasopharynx, oropharynx, or of the mouth or jaw)

circumferential/non-circumferential defect

extended

cephalad to the level of the vallecula

Type IV

extension to cervical oesophagus

any resection that extends caudal to the level of the

clavicles

The pharyngoesophageal defects

Open-neck approaches

mercoledì 29 giugno 16