Table 1.
Demographic data of patients who underwent modified SPAF reconstruction
| S. no | Age/gender | Primary subsite | Surgery | Size of defect in cm | pTNM staging | Flap related outcomes | Adjuvant treatment |
|---|---|---|---|---|---|---|---|
| 1 | 56/M | Lt. lateral border tongue | Lt. PG + MND Type III | 4.5 × 2.5 | pT2N1 | Good, no complications | Adj. RT |
| 2 | 50/M | Rt. lower GBS | Rt. WLE + MM + SOHND | 3.5 × 2 | pT1N0 | Good, No Complications | Observation |
| 3 | 31/M | Lt. lateral border tongue | Lt. EXTENDED HG + MND Type III + Rt. SND (I–IV) | 5 × 3 | pT4aN0 | Good, no complications | Adj. RT |
| 4 | 70/M | Rt. hard palate | Rt. WLE OF BM + PARTIAL MAXILLECTOMY + MND Type III | 5 × 4 | pT2N2b | Pinhole sized oroantral fistula, healed subsequently | Adj. RT |
| 5 | 75/M | Lt. buccal mucosa | Lt. WLE BM + MM + SOHND | 5 × 4 | pT2N0 | Good, no complications | Observation |
| 6 | 74/M | Rt. buccal mucosa | Rt. WLE BM + MM + SOHND | 5 × 4 | pT2N0 | Good, no complications | Observation |
| 7 | 43/M | Lt. buccal mucosa | Lt. WLE BM + SOHND | 4 × 4 | pT1N0 | Good, no complications | Observation |
| 8 | 60/M | Rt. lateral border tongue | Rt. PG + SND(I–IV) | 5 × 4 | PT2N0 | Good, no complications | Adj. RT |
| 9 | 48/M | Rt. lower GBS | Rt. WLE + MM + SOHND | 5 × 4 | PT2N0 | Good, no complications | Observation |
| 10 | 52/M | Lt. lower GBS | Lt. WLE + MM + SND (I-IV) | 4 × 4 | pT1N0 | Good, no complications | Observation |
| 11 | 76/M | Lt. lower GBS | Lt. WLE + MM + SOHND | 5 × 3 | pT1N0 | Good, no complications | Observation |
| 12 | 52/M | Lt lower lip | Lt. WLE + SOHND (I–III) |
5 × 3 (outer skin, lip defect—nasolabial; inner lip, labial mucosal defect—SPAF) |
PT2N0 | Good, no complication | Observation |
| 13 | 69/M | Lt. upper GBS | Lt. WLE + partial maxillectomy + SND (I–IV) | Buccal mucosa defect—4 × 3 cm (SPAF); Palatal defect 6 × 3 cm (cover by Temporalis) | PT2N0 | No compliocation | Observation |
| 14 | 48/M | Right RMT | Rt. WLE + MM + upper alveolectomy + SOHND (I–III) |
5 × 4 (Buccal mucosa defect 2 × 2 cm—supraclavicular flap; RMT and upper alveolectomy defect 3 × 2 cm—SPAF) |
PT1N0 |
Supraclavicular flap—skin paddle loss Submental platysmal muscle flap—no complication |
Observation |
| 15 | 40/M | Right tonsil | TORS—Rt. Radical Tonsillectomy + MND Type III | 4 × 3.5 | PT2N2a | No complication | Adj. CTRT |
| 16 | 64/M | Left lateral border tongue | Lt. HG + SND (I–IV) | 5 × 4 | PT2N0 | No complication | Observation |
| 17 | 58/M | Left tonsil | TORS—Lt. Radical Tonsillectomy + BOT and Gloss b otonsillar Sulcus Resection + MM + SND (I–IV) | 5X4 (tonsillar and PPW wall defect 2.5 × 2 cm—supraclavicular flap; MM defect 2.5 × 2 cm and FOM cover—SPAF) | PT1N0 |
Supraclavicular flap—mild marginal necrosis, Submental platysmal muscle flap—no complication |
Observation |
| 18 | 44/M | Right lateral border tongue | Rt. PG + MND (I–V) | 4 × 3.5 cm | PT3N1 | No complication | Adj. RT |
HG hemiglossectomy, CR composite resection, MM marginal mandibulectomy, WLE wide local excision, REC recurrent, GBS gingivo buccas sulcuc, BM buccal mucosa, PG partial glossectomy, SND selective neck dissection, SOHND supraomohyoid neck dissection, TORS trans oral robotic surgery, SPAF submental platysmal adiopomyofascial flap