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Sequential reconstruction for recurrent head and neck cancer: A 10-year experience
BACKGROUND: Most patients with head and neck cancer successfully undergo oncologic resection followed by free or local flap reconstruction, depending on the tumor’s size and location. Despite effective curative resection and reconstruction, head and neck cancer patients still face a high risk of rec...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Plastic and Reconstructive Surgeons
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759442/ https://www.ncbi.nlm.nih.gov/pubmed/31550750 http://dx.doi.org/10.5999/aps.2019.00157 |
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author | Chung, Soon Won Byun, Il Hwan Lee, Won Jai |
author_facet | Chung, Soon Won Byun, Il Hwan Lee, Won Jai |
author_sort | Chung, Soon Won |
collection | PubMed |
description | BACKGROUND: Most patients with head and neck cancer successfully undergo oncologic resection followed by free or local flap reconstruction, depending on the tumor’s size and location. Despite effective curative resection and reconstruction, head and neck cancer patients still face a high risk of recurrence and the possibility of a second primary cancer. Moreover, surgeons hesitate to perform sequential reconstruction following curative resection for several reasons. Few large-scale studies on this subject are available. Therefore, we retrospectively evaluated the outcome of sequential head and neck reconstruction to determine the possible risks. METHODS: In total, 467 patients underwent head and neck reconstruction following cancer resection at our center from 2008 to 2017. Of these cases, we retrospectively reviewed the demographic and clinical features of 58 who had sequential head and neck reconstruction following resection of recurrent cancer. RESULTS: Our study included 43 males (74.1%) and 15 females (25.9%). The mean age at the initial operation was 55.4±15.3 years, while the mean age at the most recent operation was 59.0±14.3 years. The interval between the first and second operations was 49.2±62.4 months. Twelve patients (20.7%) underwent surgery on the tongue, and 12 (20.7%) had procedures on the oropharynx. Thirty-four patients (58.6%) received a sequential free flap reconstruction, and 24 patients (41.4%) were treated using locoregional flaps. No cases of flap failure occurred. CONCLUSIONS: Our findings suggest that patients who need additional operations with recurrent head and neck cancer could optimally benefit from sequential curative resections and reconstructions. |
format | Online Article Text |
id | pubmed-6759442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-67594422019-10-02 Sequential reconstruction for recurrent head and neck cancer: A 10-year experience Chung, Soon Won Byun, Il Hwan Lee, Won Jai Arch Plast Surg Original Article BACKGROUND: Most patients with head and neck cancer successfully undergo oncologic resection followed by free or local flap reconstruction, depending on the tumor’s size and location. Despite effective curative resection and reconstruction, head and neck cancer patients still face a high risk of recurrence and the possibility of a second primary cancer. Moreover, surgeons hesitate to perform sequential reconstruction following curative resection for several reasons. Few large-scale studies on this subject are available. Therefore, we retrospectively evaluated the outcome of sequential head and neck reconstruction to determine the possible risks. METHODS: In total, 467 patients underwent head and neck reconstruction following cancer resection at our center from 2008 to 2017. Of these cases, we retrospectively reviewed the demographic and clinical features of 58 who had sequential head and neck reconstruction following resection of recurrent cancer. RESULTS: Our study included 43 males (74.1%) and 15 females (25.9%). The mean age at the initial operation was 55.4±15.3 years, while the mean age at the most recent operation was 59.0±14.3 years. The interval between the first and second operations was 49.2±62.4 months. Twelve patients (20.7%) underwent surgery on the tongue, and 12 (20.7%) had procedures on the oropharynx. Thirty-four patients (58.6%) received a sequential free flap reconstruction, and 24 patients (41.4%) were treated using locoregional flaps. No cases of flap failure occurred. CONCLUSIONS: Our findings suggest that patients who need additional operations with recurrent head and neck cancer could optimally benefit from sequential curative resections and reconstructions. Korean Society of Plastic and Reconstructive Surgeons 2019-09 2019-09-15 /pmc/articles/PMC6759442/ /pubmed/31550750 http://dx.doi.org/10.5999/aps.2019.00157 Text en Copyright © 2019 The Korean Society of Plastic and Reconstructive Surgeons 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/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Chung, Soon Won Byun, Il Hwan Lee, Won Jai Sequential reconstruction for recurrent head and neck cancer: A 10-year experience |
title | Sequential reconstruction for recurrent head and neck cancer: A 10-year experience |
title_full | Sequential reconstruction for recurrent head and neck cancer: A 10-year experience |
title_fullStr | Sequential reconstruction for recurrent head and neck cancer: A 10-year experience |
title_full_unstemmed | Sequential reconstruction for recurrent head and neck cancer: A 10-year experience |
title_short | Sequential reconstruction for recurrent head and neck cancer: A 10-year experience |
title_sort | sequential reconstruction for recurrent head and neck cancer: a 10-year experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759442/ https://www.ncbi.nlm.nih.gov/pubmed/31550750 http://dx.doi.org/10.5999/aps.2019.00157 |
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