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Results of Free Flap Reconstruction After Ablative Surgery in the Head and Neck

OBJECTIVES: Due to the complex anatomy and function of the head and neck region, the reconstruction of ablative defects in this area is challenging. In addition, an increasing interest in improving the quality of life of patients and achieving good functional results has highlighted the importance o... Full description

Journal Title: Clinical and Experimental Otorhinolaryngology 01 June 2015, Vol.8(2), pp.167-173
Main Author: Heejin Kim
Other Authors: Woo-Jin Jeong , Soon-Hyun Ahn
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1976-8710 ; E-ISSN: 2005-0720 ; DOI: 10.3342/ceo.2015.8.2.167
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recordid: doaj_soai_doaj_org_article_67656c4b69324e22b5a4da710ec078b2
title: Results of Free Flap Reconstruction After Ablative Surgery in the Head and Neck
format: Article
creator:
  • Heejin Kim
  • Woo-Jin Jeong
  • Soon-Hyun Ahn
subjects:
  • Free Tissue Flaps
  • Head and Neck Neoplasms
  • Reoperation
  • Medicine
ispartof: Clinical and Experimental Otorhinolaryngology, 01 June 2015, Vol.8(2), pp.167-173
description: OBJECTIVES: Due to the complex anatomy and function of the head and neck region, the reconstruction of ablative defects in this area is challenging. In addition, an increasing interest in improving the quality of life of patients and achieving good functional results has highlighted the importance of free flaps. The aim of this study was to summarize the results of free flap reconstruction and salvage of free flaps in a single institute, and to analyze differences in the results by the flap donor site, recipient site, and learning curve.METHODS: The medical records of patients who underwent free flap reconstruction from 2004-2012 were reviewed retrospectively. One hundred and fifty free flaps were used in 134 patients, who had an average age of 57.7 years. The types of flaps applied, primary defect sites, success rates, results of salvage operations for compromised flap, and the learning curve were analyzed.RESULTS: The anterolateral thigh flap was preferred for the reconstruction of head and neck defects. The overall success rate was 90.7%, with 14 cases of failure. A total of 19 salvage operations (12.7%) for compromised flap were performed, and 12 flaps (63.2%) were salvaged successfully. Dependency on the facial vessels as recipient vessels was statistically different when oral and oropharyngeal defects were compared to hypopharyngeal and laryngeal defects. The learning curve for microvascular surgery showed decrease in the failure rate after 50 cases.CONCLUSION: The free flap technique is safe but involves a significant learning period and requires careful postoperative monitoring of the patient. Early intervention is important for the salvage of free flaps and for lowering the failure rate.
language: eng
source:
identifier: ISSN: 1976-8710 ; E-ISSN: 2005-0720 ; DOI: 10.3342/ceo.2015.8.2.167
fulltext: fulltext_linktorsrc
issn:
  • 1976-8710
  • 19768710
  • 2005-0720
  • 20050720
url: Link


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titleResults of Free Flap Reconstruction After Ablative Surgery in the Head and Neck
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descriptionOBJECTIVES: Due to the complex anatomy and function of the head and neck region, the reconstruction of ablative defects in this area is challenging. In addition, an increasing interest in improving the quality of life of patients and achieving good functional results has highlighted the importance of free flaps. The aim of this study was to summarize the results of free flap reconstruction and salvage of free flaps in a single institute, and to analyze differences in the results by the flap donor site, recipient site, and learning curve.METHODS: The medical records of patients who underwent free flap reconstruction from 2004-2012 were reviewed retrospectively. One hundred and fifty free flaps were used in 134 patients, who had an average age of 57.7 years. The types of flaps applied, primary defect sites, success rates, results of salvage operations for compromised flap, and the learning curve were analyzed.RESULTS: The anterolateral thigh flap was preferred for the reconstruction of head and neck defects. The overall success rate was 90.7%, with 14 cases of failure. A total of 19 salvage operations (12.7%) for compromised flap were performed, and 12 flaps (63.2%) were salvaged successfully. Dependency on the facial vessels as recipient vessels was statistically different when oral and oropharyngeal defects were compared to hypopharyngeal and laryngeal defects. The learning curve for microvascular surgery showed decrease in the failure rate after 50 cases.CONCLUSION: The free flap technique is safe but involves a significant learning period and requires careful postoperative monitoring of the patient. Early intervention is important for the salvage of free flaps and for lowering the failure rate.
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ObjectivesDue to the complex anatomy and function of the head and neck region, the reconstruction of ablative defects in this area is challenging. In addition, an increasing interest in improving the quality of life of patients and achieving good functional results has highlighted the importance of free flaps. The aim of this study was to summarize the results of free flap reconstruction and salvage of free flaps in a single institute, and to analyze differences in the results by the flap donor site, recipient site, and learning curve.MethodsThe medical records of patients who underwent free flap reconstruction from 2004-2012 were reviewed retrospectively. One hundred and fifty free flaps were used in 134 patients, who had an average age of 57.7 years. The types of flaps applied, primary defect sites, success rates, results of salvage operations for compromised flap, and the learning curve were analyzed.ResultsThe anterolateral thigh flap was preferred for the reconstruction of...

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ObjectivesDue to the complex anatomy and function of the head and neck region, the reconstruction of ablative defects in this area is challenging. In addition, an increasing interest in improving the quality of life of patients and achieving good functional results has highlighted the importance of free flaps. The aim of this study was to summarize the results of free flap reconstruction and salvage of free flaps in a single institute, and to analyze differences in the results by the flap donor site, recipient site, and learning curve.MethodsThe medical records of patients who underwent free flap reconstruction from 2004-2012 were reviewed retrospectively. One hundred and fifty free flaps were used in 134 patients, who had an average age of 57.7 years. The types of flaps applied, primary defect sites, success rates, results of salvage operations for compromised flap, and the learning curve were analyzed.ResultsThe anterolateral thigh flap was preferred for the reconstruction of...

pubKorean Society of Otorhinolaryngology-Head and Neck Surgery
doi10.3342/ceo.2015.8.2.167
urlhttps://doaj.org/article/67656c4b69324e22b5a4da710ec078b2
lad01Clinical and Experimental Otorhinolaryngology
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date2015-06-01