Table 1 Patients’ data and information
Patient 1 | Patient 2 | Patient 3 | |
|---|---|---|---|
Tumor stadium | pT2 pN0 L0 V0 Pn0 G2 R0 | pT4 pN1 L0 V0 Pn1 G2 R0 | pT4a pN0 L0 V0 Pn0 G3 R0 |
Tumor localization | Anterior floor of the mouth | Right mandibular region 45–48 | Right alveolar ridge region 32–45 |
Microvascular flap | Radial forearm flap | Fibula flap | Fibula flap, radial forearm flap, another fibula flap, and scapula flap |
Failed flap | Radial forearm flap | Fibula flap | Scapula flap |
Postoperative day of flap failure | 1 | 0 (intraoperative) | 0 (intraoperative) |
Cause of failure | Extensive thrombosis in both arterial and venous pedicle | Extensive and multiple thromboses during microsurgery | Extensive and multiple thromboses during microsurgery |
Number of salvage attempts | 1 | 3 | 2 |
Therapy | Adjuvant radiotherapy | Adjuvant combined radiochemotherapy | Adjuvant combined radiochemotherapy |
Successful flap | Fibula flap | Fibula flap | Scapula flap |