Analytic Review of 2372 Free Flap Transfers for Head and Neck Reconstruction Following Cancer Resection

Takashi Nakatsuka; Kiyonori Harii; Hirotaka Asato; Akihiko Takushima; Satoshi Ebihara; Yoshihiro Kimata; Atsushi Yamada; Kazuki Ueda; Shigeru Ichioka; Peter V. Cordeiro

doi:10.1055/s-2003-42630

Journal of Reconstructive Microsurgery, Inhaltsverzeichnis

J Reconstr Microsurg 2003; 19(6): 363-368
DOI: 10.1055/s-2003-42630

Analytic Review of 2372 Free Flap Transfers for Head and Neck Reconstruction Following Cancer Resection

Takashi Nakatsuka¹ , Kiyonori Harii² , Hirotaka Asato² , Akihiko Takushima² , Satoshi Ebihara³ , Yoshihiro Kimata⁴ , Atsushi Yamada⁵ , Kazuki Ueda⁶ , Shigeru Ichioka¹

¹Saitama Medical School, Saitama
²Graduate School of Medicine, University of Tokyo, Japan
³Division of Head and Neck Surgery and Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Chiba, Japan
⁴Departments of Plastic and Reconstructive Surgery
⁵Tohoku University Hospital
⁶Fukushima Medical University

Abstract

ABSTRACT

Microvascular free tissue transfer has gained world-wide acceptance as a means of reconstructing post-oncologic surgical defects in the head and neck region. Since 1977, the authors have introduced this reconstructive procedure to head and neck reconstruction after cancer ablation, and a total of 2372 free flaps were transferred in 2301 patients during a period of over 23 years. The most frequently used flap was the rectus abdominis flap (784 flaps: 33.1 percent), followed by the jejunum (644 flaps: 27.2 percent) and the forearm flap (384 flaps: 16.2 percent). In the reported series, total and partial flap necrosis accounted for 4.2 percent and 2.5 percent of cases, respectively. There was a significant statistical difference (p < 0.05) in complete flap survival rate between immediate and secondary reconstruction cases. The authors believe that the above-mentioned three flaps have been a major part of the armamentarium for head and neck reconstruction because of a lower rate of flap necrosis, compared to other flaps.

KEYWORDS

Head and neck reconstruction - free flaps - post-oncologic defects - complications

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Referenzen

REFERENCES

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Journal of Reconstructive Microsurgery, Inhaltsverzeichnis

J Reconstr Microsurg 2003; 19(6): 369-370
DOI: 10.1055/s-2003-42630

INVITED DISCUSSION

Invited Discussion

Peter V. Cordeiro,

Plastic and Reconstructive Surgical Service, Memorial Sloan-Kettering Cancer Center, New York, NY

Abstract

Volltext

Referenzen

REFERENCES

1a Hidalgo D A, Disa J J, Cordeiro P G, Hu Q Y. A review of 716 consecutive free flaps for oncologic surgical defects: refinements in donor-site selection and technique. Plast Reconstr Surg . 1998; 102 722-732