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Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction
BACKGROUND: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Cleft Palate-Craniofacial Association
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475704/ https://www.ncbi.nlm.nih.gov/pubmed/37654235 http://dx.doi.org/10.7181/acfs.2023.00325 |
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author | Lim, Beom Jin Shin, Jin Yong Roh, Si-Gyun Lee, Nae-Ho Chung, Yoon Kyu |
author_facet | Lim, Beom Jin Shin, Jin Yong Roh, Si-Gyun Lee, Nae-Ho Chung, Yoon Kyu |
author_sort | Lim, Beom Jin |
collection | PubMed |
description | BACKGROUND: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure. METHODS: This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021. RESULTS: During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery. CONCLUSION: Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned. |
format | Online Article Text |
id | pubmed-10475704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Cleft Palate-Craniofacial Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-104757042023-09-05 Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction Lim, Beom Jin Shin, Jin Yong Roh, Si-Gyun Lee, Nae-Ho Chung, Yoon Kyu Arch Craniofac Surg Original Article BACKGROUND: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure. METHODS: This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021. RESULTS: During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery. CONCLUSION: Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned. Korean Cleft Palate-Craniofacial Association 2023-08 2023-08-20 /pmc/articles/PMC10475704/ /pubmed/37654235 http://dx.doi.org/10.7181/acfs.2023.00325 Text en Copyright © 2023 Korean Cleft Palate-Craniofacial Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lim, Beom Jin Shin, Jin Yong Roh, Si-Gyun Lee, Nae-Ho Chung, Yoon Kyu Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
title | Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
title_full | Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
title_fullStr | Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
title_full_unstemmed | Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
title_short | Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
title_sort | clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475704/ https://www.ncbi.nlm.nih.gov/pubmed/37654235 http://dx.doi.org/10.7181/acfs.2023.00325 |
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