3D Microvascular Reconstruction of Cheek after Excision of Fibro Sarcoma: A Rare Entity for Head and Neck
Amit Agarwal
Department of Plastic, Craniofacial & Microsurgery, Vivekananda Polyclinic and institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Sudeep Garg
Department of Onco Surgery, Vivekanand Polyclinic and Institute of Medical Sciences, Lucknow, India.
Amber Das *
Department of Plastic, Craniofacial & Microsurgery, Vivekananda Polyclinic and institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Pritika Srivastava *
Department of Plastic, Craniofacial & Microsurgery, Vivekananda Polyclinic and institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
*Author to whom correspondence should be addressed.
Abstract
Microvascular reconstructions after head and neck cancer are among the most complicated procedures in plastic surgery. Postoperative complications are common, which often leads to prolonged hospital stay. Fibrosarcomas are rare malignant tumor of fibroblasts, known for its ability to reccur and metastasize. Fibrosarcomas constitutes only 1% of malignancy of all malignancies studied in human. Most common site for fibrosarcomas are retroperitoneum, thigh, knee, and distal extremities. Head and neck is very uncommon site for fibrosarcomas and comprises 0.05% of all fibrosarcomas. Having poor prognosis, patients have 20-35% survival rate for 5 years. Radical excision of tumor with negative margin is most preferred mode of treatment, which lead to significant soft tissue or bony defect of varied dimensions, resulting into anatomical and functional deficiencies. Microvascular reconstruction is one of reliable and pre-eminent alternative for reconstruction giving satisfactory aesthetics and functionality.
Keywords: Microvascular reconstruction, fibrosarcomas, 3D structures, spindle cells