Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction

Stefano Bondi, Alessandro Vinciguerra, Alessandra Lissoni, Nathalie Rizzo, Diego Barbieri, Pietro Indelicato and Silvio Abati
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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
Alessandra Lissoni: School of Medicine, Vita-Salute San Raffaele University, 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
Pietro Indelicato: Otorhinolaryngology—Head & Neck Surgery Department, San Raffaele Hospital, University Vita-Salute, 20100 Milano, Italy
Silvio Abati: School of Medicine, Vita-Salute San Raffaele University, 20100 Milano, Italy

IJERPH, 2021, vol. 18, issue 7, 1-11

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.

Keywords: submental flap; oral lesions; mucosal melanoma; oral cavity; follow-up (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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