Simplifying microvascular head and neck reconstruction: A rational approach to donor site selection Journal Article

  


Authors: Disa, J. J.; Pusic, A. L.; Hidalgo, D.; Cordeiro, P. G.
Article Title: Simplifying microvascular head and neck reconstruction: A rational approach to donor site selection
Abstract: The purpose of this study was to review the authors' 13-year experience with free tissue transfer for head and neck oncology patients. This study was a retrospective review of 728 free flaps performed in 698 patients. Recipient sites were subdivided by region into the mandible (N=253), mid face/orbit (N=190), hypopharynx (N=134), oral cavity (N=104), skull base (N=36), and scalp (N=11). The overall free flap success rate was 98.6%. Seventy-nine flaps (10.9%) were reexplored for vascular compromise. Ten flaps (1.4%) were lost in their entirety. The overall complication rate was 17.5%. Four donor sites (forearm, fibula, rectus, and jejunum) were used for 92% of the patients. The results of the study confirm the efficacy of free tissue transfer in the reconstruction of oncological head and neck defects. In this series the free forearm, fibula, rectus, and jejunum flaps have become the workhorse donor sites for the vast majority of defects.
Keywords: adolescent; adult; child; treatment outcome; aged; aged, 80 and over; child, preschool; middle aged; cancer surgery; reconstructive surgical procedures; retrospective studies; major clinical study; head and neck surgery; surgical flaps; preoperative care; microsurgery; oncology; postoperative complication; dextran; head and neck cancer; head and neck neoplasms; acetylsalicylic acid; heparin; postoperative infection; free tissue graft; microvasculature; jejunum; fibula; rectus abdominis muscle; muscle, skeletal; forearm; humans; human; male; female; priority journal; article
Journal Title: Annals of Plastic Surgery
Volume: 47
Issue: 4
ISSN: 0148-7043
Publisher: Lippincott Williams & Wilkins  
Date Published: 2001-10-01
Start Page: 385
End Page: 389
Language: English
PUBMED: 11601572
PROVIDER: scopus
DOI: 10.1097/00000637-200110000-00004
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-0034799326&partnerID=40&md5=7ec3c7c2a6f0b306a210006f5faeff32
Notes: Export Date: 21 May 2015 -- Source: Scopus
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MSK Authors
  1. David A Hidalgo
    47 Hidalgo
  2. Joseph Disa
    262 Disa
  3. Andrea Pusic
    300 Pusic
  4. Peter G Cordeiro
    282 Cordeiro
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