title: Head and neck reconstruction with free flaps: a report on 213 cases.
abstract: The aim of this retrospective study is to review the experience of our institution in performing microvascular head and neck reconstruction between 2000 and 2004. During this period, 213 free flaps, including 146 radial forearm free flaps, 60 fibular flaps and 7 scapular flaps, were performed. Free flap success rate and complications were reported. The pre-treatment factors influencing these results were subsequently analyzed. Functional and aesthetic outcomes were evaluated by the same clinician. There were 14 free flap failures, giving an overall free flap success rate of 93.4%. Salvage surgery for recurrent cancer was the only factor correlated with a higher risk of free flap failure (P = 0.0004). The local complication rate was 20.9%. High level of comorbidity (P = 0.009), salvage surgery for recurrent cancer (P = 0.03) and hypopharyngeal surgery (P = 0.002) were associated with a higher risk of local complications. An unrestricted oral diet and an intelligible speech were recovered by respectively 76 and 88% of the patients. Microvascular free flaps represent an essential and reliable technique for head neck reconstruction and allow satisfactory functional results.
authors: Département d'Oto-Rhino-Laryngologie et de chirurgie de la Face et du Cou, Centre Antoine Lacassagne, 33 Avenue de Valombrose, 06189, Nice Cedex, France. alexandre.bozec@nice.fnclcc.fr
authors: Olivier
authors: O
authors: Dassonville
authors: Gilles
authors: G
authors: Poissonnet
authors: Emmanuel
authors: E
authors: Chamorey
authors: Jacques
authors: J
authors: Vallicioni
authors: François
authors: F
authors: Demard
authors: Joseph
authors: J
authors: Santini
authors: Mayeul
authors: M
authors: Lecoq
authors: Sophie
authors: S
authors: Converset
authors: Pouya
authors: P
authors: Mahdyoun
authors: Alexandre
authors: A
authors: Bozec
mesh_terms: D000368:Aged; D005260:Female; D006085:Graft Survival; D006257:Head / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009333:Neck / Q000601:surgery; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps
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