A SINGLE CENTERS EXPERIENCE WITH 308 FREE FLAPS FOR REPAIR OF HEAD AND NECK-CANCER DEFECTS

被引:307
作者
SCHUSTERMAN, MA [1 ]
MILLER, MJ [1 ]
REECE, GP [1 ]
KROLL, SS [1 ]
MARCHI, M [1 ]
GOEPFERT, H [1 ]
机构
[1] UNIV TEXAS, MD ANDERSON CANC CTR, DEPT HEAD & NECK SURG, HOUSTON, TX 77030 USA
关键词
D O I
10.1097/00006534-199493030-00004
中图分类号
R61 [外科手术学];
学科分类号
摘要
Since its inception at our institution in 1988, microvascular reconstructive surgery has become an integral part of the treatment of head and neck cancer patients. This review of 308 free flaps performed over the last 4 years was done to evaluate the complication and flap loss rates and to investigate which factors may contribute to these rates. The overall complication rate was 36.1 percent, the vessel thrombosis rate was 6.8 percent, the flap loss rate was 5.5 percent, and the flap salvage rate was 19.0 percent. Multifactorial analysis of delayed reconstruction, tobacco use, alcohol consumption, previous radiation therapy, previous surgery, and use of vein grafts showed that only previous surgery and the use of vein grafts led to significantly higher rates of flap loss (p < 0.01 for both).
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页码:472 / 478
页数:7
相关论文
共 20 条
[1]   10 YEARS EXPERIENCE WITH THE FREE JEJUNAL AUTOGRAFT [J].
COLEMAN, JJ ;
SEARLES, JM ;
HESTER, TR ;
NAHAI, F ;
ZUBOWICZ, V ;
MCCONNEL, FMS ;
JURKIEWICZ, MJ .
AMERICAN JOURNAL OF SURGERY, 1987, 154 (04) :394-398
[2]  
CONLEY J J, 1962, Plast Reconstr Surg Transplant Bull, V30, P469, DOI 10.1097/00006534-196210000-00008
[3]   DISTANT TRANSFER OF AN ISLAND FLAP BY MICROVASCULAR ANASTOMOSES - CLINICAL TECHNIQUE [J].
DANIEL, RK ;
TAYLOR, GI .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1973, 52 (02) :111-117
[4]   MANDIBULAR RECONSTRUCTION IN THE RADIATED PATIENT - THE ROLE OF OSTEOCUTANEOUS FREE TISSUE TRANSFERS [J].
DUNCAN, MJ ;
MANKTELOW, RT ;
ZUKER, RM ;
ROSEN, IB .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1985, 76 (06) :829-840
[5]   MICROVASCULAR RECONSTRUCTION IN THE HEAD AND NECK [J].
FISHER, J .
MAYO CLINIC PROCEEDINGS, 1986, 61 (06) :451-458
[6]  
HARASHINA T, 1976, PLAST RECONSTR SURG, V58, P412, DOI 10.1097/00006534-197610000-00003
[7]   FIBULA FREE FLAP - A NEW METHOD OF MANDIBLE RECONSTRUCTION [J].
HIDALGO, DA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 84 (01) :71-79
[8]   THE ROLE OF EMERGENT EXPLORATION IN FREE-TISSUE TRANSFER - A REVIEW OF 150 CONSECUTIVE CASES [J].
HIDALGO, DA ;
JONES, CS .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 86 (03) :492-498
[9]  
Jurkiewicz M J, 1965, Plast Reconstr Surg, V36, P509, DOI 10.1097/00006534-196511000-00002
[10]   Cancer of the tongue [J].
Martin, HE ;
Munster, H ;
Sugarbaker, ED .
ARCHIVES OF SURGERY, 1940, 41 (04) :888-936