Teacher Karen,

I’m sorry to hear it’s a recurrence, as we were hoping it was something else minor!!

Yes, I had several flaps done. The first was a Pec Flap for protection of the carotid artery after surgical removal of tissue, the second was a Buccal Flap for closure after debriding for ORN in the 3rd molar, and lastly a Fibula Free Flap for osteoradionecrosis. The only one done intraorally was the buccal flap as the rest were done via access on the outside of the jaw and neck.

I looked in my records for free flaps, which is mostly done instead of pec flaps these days for certain cases, but I only find one article pertaining to it, which is odd as I try to save everything, so I must have them filed under something else out of 4,000 or so.

I can post what I have regarding flaps, but its lengthy, and it has a few explicit surgical pictures. I think it has listed almost every kind of flap around, each stating the positive and negative aspects of each.

I hope this helps some, and will continue looking!


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs