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Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction

Author

Listed:
  • Stefano Bondi

    (Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy)

  • Alessandro Vinciguerra

    (Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy
    School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy)

  • Alessandra Lissoni

    (School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy
    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
    School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy)

  • Pietro Indelicato

    (Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy
    School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy)

  • Silvio Abati

    (School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy
    Department of Dentistry and Stomatology IRCCS San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy)

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.

Suggested Citation

  • Stefano Bondi & Alessandro Vinciguerra & Alessandra Lissoni & Nathalie Rizzo & Diego Barbieri & Pietro Indelicato & Silvio Abati, 2021. "Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3341-:d:523044
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