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Bondi S, Vinciguerra A, Lissoni A, Rizzo N, Barbieri D, Indelicato P, Abati S. Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3341. [PMID: 33804881 PMCID: PMC8036556 DOI: 10.3390/ijerph18073341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 02/17/2021] [Accepted: 03/19/2021] [Indexed: 12/02/2022]
Abstract
Mucosal melanomas of the head and neck region are uncommon pathologies that can affect the oral cavity, and are characterized by a high rate of mortality. Considering the lack of knowledge regarding risk and prognostic factors, current best clinical practice is represented by a large surgical excision with disease-free margins, eventually associated with a reconstructive flap. Indeed, given the frequent necessity of postoperative radiotherapy and fast healing process, a reconstruction of the surgical gap is advisable. Even if several flaps have been most commonly used, the submental island flap represents a valid alternative thanks to local advantages and similar oncologic outcomes compared to free flaps.
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Affiliation(s)
- Stefano Bondi
- Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy; (A.V.); (D.B.); (P.I.)
| | - Alessandro Vinciguerra
- Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy; (A.V.); (D.B.); (P.I.)
- School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy; (A.L.); (S.A.)
| | - Alessandra Lissoni
- School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy; (A.L.); (S.A.)
- Department of Dentistry and Stomatology IRCCS San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy
| | - Nathalie Rizzo
- Pathology Unit, Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20100 Milano, Italy;
| | - Diego Barbieri
- Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy; (A.V.); (D.B.); (P.I.)
- School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy; (A.L.); (S.A.)
| | - Pietro Indelicato
- Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy; (A.V.); (D.B.); (P.I.)
- School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy; (A.L.); (S.A.)
| | - Silvio Abati
- School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy; (A.L.); (S.A.)
- Department of Dentistry and Stomatology IRCCS San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy
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