Acta otorrinolaringologica espanola · 2013
[Free flap reconstruction in the head and neck. Indications, technical aspects and outcomes].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Llorente José Luis, López Fernando, Suárez Vanessa, Fueyo Angel, Carnero Susana, Martín Clara, López Victoria, Camporro Daniel, Suárez Carlos
Аннотация
INTRODUCTION AND OBJECTIVES: The use of microvascular free flaps (MFF) has become a common method of head and neck reconstruction because of its high success rates and better functional results. We report our experience in reconstructing complex defects with MFF.
METHODS: We analysed a series of 246 patients that underwent reconstruction using MFF in our Department from 1991 to 2013.
RESULTS: There were 259 interventions performed in 246 patients. The most common reason for surgery was tumour recurrence (46%), followed by primary tumour resection (25%). The hypopharynx (52%) and the craniofacial region (22%) were the most frequently reconstructed sites. The free flaps most commonly used were the radial forearm free flap (41%) and the anterolateral thigh free flap (35%). Overall success and complication rates of 92% and 20% respectively were reported.
CONCLUSIONS: The microvascular free flap is a reliable and useful tool for reconstructing complex head and neck defects and continues to be the reconstructive modality of choice for these defects.
METHODS: We analysed a series of 246 patients that underwent reconstruction using MFF in our Department from 1991 to 2013.
RESULTS: There were 259 interventions performed in 246 patients. The most common reason for surgery was tumour recurrence (46%), followed by primary tumour resection (25%). The hypopharynx (52%) and the craniofacial region (22%) were the most frequently reconstructed sites. The free flaps most commonly used were the radial forearm free flap (41%) and the anterolateral thigh free flap (35%). Overall success and complication rates of 92% and 20% respectively were reported.
CONCLUSIONS: The microvascular free flap is a reliable and useful tool for reconstructing complex head and neck defects and continues to be the reconstructive modality of choice for these defects.