Free flap failure in head and neck reconstruction.

Head & Neck Pub Date : 2014-10-01 Epub Date: 2014-02-01 DOI:10.1002/hed.23471

Christian Corbitt, Roman J Skoracki, Peirong Yu, Matthew M Hanasono

{"title":"Free flap failure in head and neck reconstruction.","authors":"Christian Corbitt, Roman J Skoracki, Peirong Yu, Matthew M Hanasono","doi":"10.1002/hed.23471","DOIUrl":null,"url":null,"abstract":"Background: The purpose of this study was to determine the causes of head and neck free flap loss and to evaluate outcomes after subsequent microvascular and non-microvascular reconstruction.Methods: Patients who experienced free flap loss between 2000 and 2012 were reviewed.Results: There were 40 flap losses out of 3090 free flaps (1.3%). Twenty-eight patients underwent subsequent free flap reconstruction of which 27 free flaps were successful (96.4%), which was not significantly different from our initial flap success rate (p = .81). Of patients who underwent subsequent free flap reconstruction for oral/pharyngeal defects, 100% had >80% speech intelligibility and 87.5% were tube feed independent. By comparison, 42.9% of patients who underwent subsequent pectoralis major flap reconstruction had intelligible speech (p = .01) and 25.0% were independent of tube feeds (p = 0.02).Conclusion: Subsequent free flaps after initial free flap losses can be successful in selected patients. Functional outcomes after subsequent free flap reconstruction are favorable compared to pedicled flap reconstruction.","PeriodicalId":501638,"journal":{"name":"Head & Neck","volume":" ","pages":"1440-5"},"PeriodicalIF":0.0000,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/hed.23471","citationCount":"91","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Head & Neck","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hed.23471","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2014/2/1 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 91

Abstract

Background: The purpose of this study was to determine the causes of head and neck free flap loss and to evaluate outcomes after subsequent microvascular and non-microvascular reconstruction.

Methods: Patients who experienced free flap loss between 2000 and 2012 were reviewed.

Results: There were 40 flap losses out of 3090 free flaps (1.3%). Twenty-eight patients underwent subsequent free flap reconstruction of which 27 free flaps were successful (96.4%), which was not significantly different from our initial flap success rate (p = .81). Of patients who underwent subsequent free flap reconstruction for oral/pharyngeal defects, 100% had >80% speech intelligibility and 87.5% were tube feed independent. By comparison, 42.9% of patients who underwent subsequent pectoralis major flap reconstruction had intelligible speech (p = .01) and 25.0% were independent of tube feeds (p = 0.02).

Conclusion: Subsequent free flaps after initial free flap losses can be successful in selected patients. Functional outcomes after subsequent free flap reconstruction are favorable compared to pedicled flap reconstruction.

查看原文本刊更多论文

头颈部重建游离皮瓣失败。

背景:本研究的目的是确定头颈部游离皮瓣丢失的原因，并评估随后微血管和非微血管重建的结果。方法:回顾性分析2000 ~ 2012年游离皮瓣丢失患者的临床资料。结果:3090个游离皮瓣中有40个皮瓣丢失(1.3%)。28例患者后续行游离皮瓣重建，27例成功(96.4%)，与我们的初始皮瓣成功率无显著差异(p = .81)。在随后进行口腔/咽缺损自由皮瓣重建的患者中，100%的患者语音清晰度>80%，87.5%的患者不需要管饲。相比之下，42.9%接受胸大肌瓣重建的患者言语清晰(p = 0.01)， 25.0%能够独立于管饲(p = 0.02)。结论:有选择的患者在游离皮瓣丢失后进行后续的游离皮瓣移植是成功的。与带蒂皮瓣重建相比，随后的自由皮瓣重建的功能结果更好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Head & Neck

自引率

0.00%

发文量