Free Flap Reconstruction of the Head and Neck: Analysis of 241 Cases

Haughey, Bruce H.; Wilson, Ewain; Kluwe, Lucia; Piccirillo, Jay F.; Fredrickson, John M.; Sessions, Donald G.; Spector, Gershon J.

doi:10.1067/mhn.2001.116788

Cited by 322 publications

(355 citation statements)

References 17 publications

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“…Moreover, this flap offers excellent bicortical bone stock for dental implant placement and a versatile cutaneous unit for soft-tissue reconstruction. 9,[15][16][17][19][20][21][22][23][24] Once dehiscence occurs, the vital periosteum accelerates the re-epithelialisation and healing. 16 The muscle-sparing technique diminishes the donor-site dead space and subsequent haematoma, reduces the risk of the pedicle damage, promotes the skin-island pliability, and preserves the donor limb strength.…”

Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

“…19,22,28 The early recognition and timely management of flap complications is necessary because of a narrow window of opportunity to salvage potential flap failure. 14 A large series by Bui et al 14 revealed many factors involving venous thrombosis following MHNR, including the use of a vein graft, kinking or compressing of the veins with tight skin closure, neck motion, and end-to-end venous anastomoses.…”

Section: Compromised Vascularity and Free Flap Failurementioning

confidence: 99%

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A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Chaine¹,

Pitak‐Arnnop²,

Dhanuthai³

et al. 2009

European Journal of Surgical Oncology (EJSO)

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. FINDINGS:Forty-four ameloblastoma patients were operated during this study period. Sixteen cases had GMA, of which 9 patients were included in this series (mean age: 35 years). The defects in the mandible ranged from 7 to 16 cm in length (mean: 12 cm). The average length of the harvested fibula was 11 cm, and the number of osteotomies ranged from 1 to 2. The mean ischemic time was 137 minutes (range: 90-180 minutes).Neck recipient vessels were used for flap perfusion in all cases. All but one flaps were viable without any complications, whilst partial skin-island necrosis occurred in 2 patients. Hospital stay was 2 weeks in most of the patients. No tumour recurrence was found during the follow-up period (range: 26-73 months). Dental implants were placed in 2 patients. CONCLUSIONS:Despite several limitations of this study, we suggest that a radical approach with the SM-IFFOFR is an effective treatment for GMA. Further well-designed, larger series with longer follow-up periods are still encouraged.

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Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

Section: Compromised Vascularity and Free Flap Failurementioning

confidence: 99%

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Chaine¹,

Pitak‐Arnnop²,

Dhanuthai³

et al. 2009

European Journal of Surgical Oncology (EJSO)

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“…Wielu autorów zajmujących się tematyką powikłań pooperacyjnych uważa zapalenie płuc za jedną z głównych przyczyn zgonów pooperacyjnych [7,76,126,190].…”

Section: Powikłania Ze Strony Układu Oddechowegounclassified

“…Obszerne piśmiennictwo nie wskazuje jednak na taki mechanizm. Chociaż oddzielenie otyłości od innych czynników ryzyka występujących u osób otyłych jest trudne, prace wykorzystujące analizy wieloczynnikowe również nie wykazały wzrostu powikłań płucnych u chorych z otyłością [10,76,126,131,196,223]. W naszym materiale także nie stwierdziliśmy wyższego wystę-powania powikłań płucnych o osób otyłych.…”

Section: Powikłania Ze Strony Układu Oddechowegounclassified

Powikłania ogólne operacji nowotworów złośliwych głowy i szyi

Sierszeń¹

2011

Otolaryngologia Polska

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“…Free flap transfers have proved highly effective in the reconstruction of complex defects in the head and neck region [1][2][3][4][5][6][7]. Despite excellent results, postoperative thrombosis does occur and, although infrequent, causes total loss of the flap.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Anastomotic Thrombosis in 200 Head and Neck Free Flaps among Asian Patients

Makiguchi¹,

Hashikawa²,

Sugiyama³

et al. 2012

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Background: Despite excellent results from free flap transfers, postoperative thrombosis does occur and, although infrequent, causes total loss of the flap. We investigate the risk factors of anastomotic thrombosis in head and neck free flaps. Study Design, Subjects and Methods: A retrospective analysis was carried out on 200 consecutive free flaps applied to patients who underwent head and neck reconstruction. Multiple logistic regression analysis was conducted to identify risk factors of anastomotic thrombosis, taking into account twelve factors: diabetes, obesity, hypertension, hypertriglyceridemia, proteinuria, age, gender, smoking habit, habitual alcohol intake, previous chemotherapy and radiation, and hypercholesterolemia. Results: Hypertension, female gender, aging, and drinking habit were statistically significant risk factors of postoperative thrombosis. Conclusions: Our data suggest that four factors mentioned above are possible predictors of anastomotic thrombosis in free flaps used for head and neck.

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Free Flap Reconstruction of the Head and Neck: Analysis of 241 Cases

Cited by 322 publications

References 17 publications

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Powikłania ogólne operacji nowotworów złośliwych głowy i szyi

Risk Factors of Anastomotic Thrombosis in 200 Head and Neck Free Flaps among Asian Patients

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