Free Flaps in Reconstruction of Extensive Defects after Oncological Head and Neck Surgery
Authors:
H. Binková 1; J. Hložek 1; R. Kostřica 1; Z. Horáková 1; J. Veselý 2; I. Stupka 2; L. Dražan 2; P. Hýža 2
Authors‘ workplace:
Klinika otorinolaryngologie a chirurgie hlavy a krku FN U svaté Anny, Brno a LF Masarykovy univerzity, Brno
; přednosta prof. MUDr. R. Kostřica, CSc.
Klinika plastické a estetické chirurgie FN U svaté Anny, Brno
1; přednosta prof. MUDr. J. Veselý, CSc.
2
Published in:
Otorinolaryngol Foniatr, 63, 2014, No. 2, pp. 75-81.
Category:
Original Article
Overview
The following study presents a retrospective analysis of microvascular free flap closure of postoperative defects at ENT clinic of St. Anne’s hospital in Brno in years 2002-2011.
87 free flaps were transferred with success rate 97.7%; only one flap underwent a total necrosis. The most frequent were free musculocutaneous flaps from m. latissimus dorsi – 43 and fasciocutaneous forearm Chinese flaps – 34. Postoperative defect closures (after previous maxillectomy -29 and glossectomy -18) for advanced tumors T3+T4 (94%) were predominating. The oncologic success rate can be considered as relatively high (5-year DSS 53%); local recurrence underneath the flap was confirmed in 23(26%) cases.
Keywords:
free flap, head neck cancer, microsurgery, plastics, reconstruction
Sources
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
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