Quantitative analysis of free flap volume changes in head and neck reconstruction

Yamaguchi, Kazushige; Kimata, Yoshihiro; Onoda, Shigeki; Mizukawa, Nobuyoshi; Onoda, Tomoo

doi:10.1002/hed.21944

Cited by 60 publications

(72 citation statements)

References 57 publications

(67 reference statements)

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“…In a previous report, Fujioka et al 2) , Siebert et al 10) and Siebert and Longaker 11) reported considerable change in amount of tissue with rectus RAMFs. In another report 15) , however, Yamaguchi et al reported that such change was absent in RAMFs and anterolateral thigh flaps. In the present study, only FFs and RAMFs were investigated.…”

Section: Discussionmentioning

confidence: 91%

Preliminary Study of Temporal Change in Free Flap Volume after Tongue Reconstruction

Suzuki

Tanaka

Osaka

et al. 2017

Bull. Tokyo Dent. Coll.

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The purpose of this study was to investigate three-dimensionally temporal change in flap volume after free flap reconstructive surgery in tongue cancer patients. The results revealed an average change in flap volume of 82.3% at 1 year postoperatively. Change in tongue volume at approximately 6 months postoperatively showed a correlation with triglyceride levels. A correlation was also found between albumin levels and tongue volume at 1 year onwards postoperatively. The goal of such surgery in patients with tongue cancer is to reconstruct a functional tongue. Taking postoperative change in tongue volume into consideration is therefore of importance in minimizing postoperative dysphagia.

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Section: Discussionmentioning

confidence: 91%

Preliminary Study of Temporal Change in Free Flap Volume after Tongue Reconstruction

Suzuki

Tanaka

Osaka

et al. 2017

Bull. Tokyo Dent. Coll.

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“…Minor complications that did not require additional operation or reoperation in the early postoperative period were not influenced by radiation exposure in this study. Local abscesses due to postoperative discharge or hematoma and fistulae were managed by using normal techniques such as the transplantation of tissue with rich blood flow, appropriate flap configuration, and packing of dead space . Most patients in group A were cured through conservative treatment because approximately two thirds of the complications experienced by this group were minor.…”

Section: Discussionmentioning

confidence: 99%

“…Mourad et al reported that radiation therapy significantly increased the duration of heterotopic ossification. In addition, the soft tissues of the fistula do not tend to adhere together, and the localization of abscess is difficult to clarify, permitting infection to spread and necessitating additional surgery . Blood flow through tissues is decreased in the radiation field, and spontaneous healing is also delayed.…”

Section: Discussionmentioning

confidence: 99%

Effects of radiation therapy on postoperative complications and adverse events in patients with head and neck reconstruction with flaps

et al. 2014

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“…1,9 The objective of this study was to reassess the relationship between previous treatments, anastomosed vessels, side of the neck where anastomosis was performed, and complications following multiple free flap reconstructions in the head and neck.…”

Section: Introductionmentioning

confidence: 99%

Multiple Free Flap Reconstructions of Head and Neck Defects Due to Oral Cancer

Mochizuki

Harada

Shiba

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Objective:We studied complications following multiple free flap reconstructions in the head and neck.Methods:In this cohort, 26 patients (14 men and 12 women) who underwent multiple microvascular free flap reconstructions were included in the study. The reasons for secondary reconstruction were recurrence of tumor (12 cases), necrosis of transferred skin and/or bone (6 cases), reconstruction plate fracture or exposure (4 cases), and others (4 cases). A third reconstruction in 4 cases and a fourth reconstruction in 1 case were performed.Results:No flap necrosis occurred. Postsurgical infections occurred at only secondary reconstructions in 7 patients. Although 4 cases with a history of external radiation therapy were anastomosed at contralateral side, those 4 cases suffered from severe pre-and postsurgical infection of the ipsilateral side. Postsurgical infection occurred in 2 cases with anastomoses at the ipsilateral side of the neck and required drainage after secondary surgery.Conclusions:A history of external radiation therapy and the existence of severe preoperative infection affected complications after multiple reconstructions.

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Quantitative analysis of free flap volume changes in head and neck reconstruction

Abstract: Use of free flaps with a high ratio of fat to muscle is sustainable and can gain volume over time, as transplanted fat can increase depending on host condition.

Cited by 60 publications

References 57 publications

Preliminary Study of Temporal Change in Free Flap Volume after Tongue Reconstruction

Preliminary Study of Temporal Change in Free Flap Volume after Tongue Reconstruction

Effects of radiation therapy on postoperative complications and adverse events in patients with head and neck reconstruction with flaps

Multiple Free Flap Reconstructions of Head and Neck Defects Due to Oral Cancer

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