Clinical applications of vascularized fascia lata in head and neck reconstruction: A systematic review

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2024-07-30 DOI:10.1016/j.amjoto.2024.104432

Kwasi Enin , Andrew Bellas , Sidharth V. Puram , Ryan S. Jackson , Michelle Doering , Patrik Pipkorn

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引用次数: 0

Abstract

Background

Given limitations in the current literature, the precise indications, techniques, and outcomes relevant to vascularized fascia lata free flap reconstruction remain uncertain. The objective of this study was to perform a systematic review of published literature to evaluate indications, methods, and complications for vascularized fascia lata free flap reconstruction.

Methods

A systematic review of the literature was performed using a set of search criteria to identify patients who underwent free flap reconstruction of the head and neck region using vascularized fascia lata. Articles were reviewed based on relevance, with the primary outcome being surgical complications and surgical indications.

Results

A comprehensive search revealed 783 articles and 5 articles were ultimately found to be appropriate to this review- 55 patients undergoing free flap reconstruction were identified. Overall complication rates were 10.9 % for major complications and 18.1 % for minor complications. Follow-up spanned 1 to 95 months with a median of 48 months.

Conclusions

Microvascular reconstruction of the head and neck with vascularized fascia lata is achievable with high adaptability and reliability reported in the literature.

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血管化筋膜在头颈部重建中的临床应用：系统综述

背景鉴于目前文献的局限性，与血管化筋膜游离皮瓣重建相关的确切适应症、技术和结果仍不确定。本研究的目的是对已发表的文献进行系统性回顾，评估血管化筋膜游离皮瓣重建的适应症、方法和并发症。方法采用一套检索标准对文献进行系统性回顾，以确定使用血管化筋膜进行头颈部游离皮瓣重建的患者。根据相关性对文章进行了综述，主要结果是手术并发症和手术适应症。结果综合检索发现了783篇文章，最终发现5篇文章适合本次综述--55名患者接受了游离皮瓣重建术。主要并发症的总发生率为10.9%，次要并发症的总发生率为18.1%。结论根据文献报道，使用血管化筋膜重建头颈部微血管具有很高的适应性和可靠性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.