Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms
Introduction: Microvascular free-flap reconstruction is one of the treatment options after large resection of head and neck neoplasms. The objectives of this study are to identify short-term outcomes and risk factors for flap complication in patients who underwent neoplasms resection of head and nec...
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| Formato: | Artículo revista |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/29523 |
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I10-R10article-29523 |
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Universidad Nacional de Córdoba |
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Revistas de la UNC |
| language |
Inglés |
| format |
Artículo revista |
| topic |
head and neck neoplasms free tissue flaps microsurgery postoperative complications risk factors neoplasias de cabeza y cuello colgajos libres microcirugía complicaciones postoperatorias factores de riesgo neoplasias de cabeça e pescoço retalhos de tecido livre microcirurgia complicações pós-operatórias fatores de risco |
| spellingShingle |
head and neck neoplasms free tissue flaps microsurgery postoperative complications risk factors neoplasias de cabeza y cuello colgajos libres microcirugía complicaciones postoperatorias factores de riesgo neoplasias de cabeça e pescoço retalhos de tecido livre microcirurgia complicações pós-operatórias fatores de risco Olguín Joseau, Santiago Arias, Ariel Sánchez, Juan Carlos Valle, Pablo Garzón Bertola, Agustín Peretti, Emiliano Guzmán, Luis Ruggieri, Marcelo Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| topic_facet |
head and neck neoplasms free tissue flaps microsurgery postoperative complications risk factors neoplasias de cabeza y cuello colgajos libres microcirugía complicaciones postoperatorias factores de riesgo neoplasias de cabeça e pescoço retalhos de tecido livre microcirurgia complicações pós-operatórias fatores de risco |
| author |
Olguín Joseau, Santiago Arias, Ariel Sánchez, Juan Carlos Valle, Pablo Garzón Bertola, Agustín Peretti, Emiliano Guzmán, Luis Ruggieri, Marcelo |
| author_facet |
Olguín Joseau, Santiago Arias, Ariel Sánchez, Juan Carlos Valle, Pablo Garzón Bertola, Agustín Peretti, Emiliano Guzmán, Luis Ruggieri, Marcelo |
| author_sort |
Olguín Joseau, Santiago |
| title |
Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| title_short |
Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| title_full |
Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| title_fullStr |
Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| title_full_unstemmed |
Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| title_sort |
six-year experience of microvascular free-flap reconstruction of head and neck neoplasms |
| description |
Introduction: Microvascular free-flap reconstruction is one of the treatment options after large resection of head and neck neoplasms. The objectives of this study are to identify short-term outcomes and risk factors for flap complication in patients who underwent neoplasms resection of head and neck with microvascular free-flap reconstruction.
Methods: Retrospective study of patients who underwent surgery for head and neck neoplasm with microvascular free-flap reconstruction between January 2014-2020. Complications were studied at 30-days follow-up and divided into medical and flap complications. Factors independently associated with flap complication were analyzed.
Results: We included 31 patients (15 men). The mean age was 60 years. Reconstruction was performed with radial-forearm flap in 74% (n=23) and with free-fibula flap in 26% (n=8). Mean surgical time was 420 minutes. Median hospital length of stay was 7 days. Medical complications were of 23%. Minor complications were of 35% and major of 32%. There was no mortality in 30-days follow-up. Flap complications were of 35%. Reintervention was of 29%, surgical site infection of 9%, dehiscence of 29% and flap loss of 9.7%. Surgical site infection was independently associated with prolonged surgical time (Odds ratio [OR]=1.03, IC95%=0.98-1.04, p=0.02) and body mass index equal to or greater than 30 (OR=1.38, IC95%=0.84-2.26, p=0.04) while flap loss was associated with prolonged surgical time (OR=1.02, IC95%=0.99-1.04, p=0.01).
Conclusion: Microsurgical free-flap reconstruction should be considered in our population in patients with large head and neck neoplasms. Preoperative assessment of the risk of postoperative complications is essential before selecting patients for this surgery. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/29523 |
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