Experience of Functional Reconstruction in Head and Neck Surgery

Abstract

Objective: To evaluate the functional preservation of patients undergoing reconstructive head and neck surgeries in the head and neck unit of the CMDLT, January-December 2021. Methodology: Observational, descriptive, case series, contemporary longitudinal study. The functions of mouth opening and closing, swallowing phase I and II, articulation of oral language, velopharyngeal competence, recurrent compensation of the laryngeal and superior laryngeal nerve due to adduction and abduction of the vocal cords, branchial motor compensation of the facial nerve, were evaluated before and after. surgery. spinal and hypoglossal. Results: 40 patients totaling 52 procedures. 55% men and 45% women; average age 49, 95 years. The procedures were 7 oncological resections of tumors in the oral cavity, 5 resections in the nasal pyramid and paranasal sinuses, 2 oncological resections of pharyngeal tumors, 2 partial laryngectomies, 11 thyroidectomies, 15 cervical dissections, 10 oncological resections of major salivary tumors. glands. 4 patients with postoperative eventualities; 2 compromised speech articulation and 2 patients with transient facial nerve palsy; 90% maintenance of function in the immediate postoperative period and 98% in the mediate postoperative period. CONCLUSIONS: Reconstructive modalities range from primary closure to free flaps. Better oncological and functional results translate into a better quality of life for patients and social reintegration. Key words: reconstruction, functional results, head and neck cancer.