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.

Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction

Vinciguerra, Alessandro
Secondo
Writing – Review & Editing
;
Indelicato, Pietro
Penultimo
Writing – Review & Editing
;
Abati, Silvio
Ultimo
Conceptualization
2021-01-01

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.
follow-up
mucosal melanoma
oral cavity
oral lesions
submental flap
Humans
Neck
Palate, Hard
Retrospective Studies
Surgical Flaps
Head and Neck Neoplasms
Melanoma
Reconstructive Surgical Procedures
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/132904
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