title: Free Flap Reconstruction of Head and Neck Defects after Oncologic Ablation: One Surgeon's Outcomes in 42 Cases.
abstract: BACKGROUND
  Free flap surgery for head and neck defects has gained popularity as an advanced microvascular surgical technique. The aims of this study are first, to determine whether the known risk factors such as comorbidity, tobacco use, obesity, and radiation increase the complications of a free flap transfer, and second, to identify the incidence of complications in a radial forearm free flap and an anterolateral thigh perforator flap.
  
  
  METHODS
  We reviewed the medical records of patients with head and neck cancer who underwent reconstruction with free flap between May 1994 and May 2012 at our department of plastic and reconstructive surgery.
  
  
  RESULTS
  The patients included 36 men and 6 women, with a mean age of 59.38 years. The most common primary tumor site was the tongue (38%). The most commonly used free flap was the radial forearm free flap (57%), followed by the anterolateral thigh perforator free flap (22%). There was no occurrence of free flap failure. In this study, risk factors of the patients did not increase the occurrence of complications. In addition, no statistically significant differences in complications were observed between the radial forearm free flap and anterolateral thigh perforator free flap.
  
  
  CONCLUSIONS
  We could conclude that the risk factors of the patient did not increase the complications of a free flap transfer. Therefore, the risk factors of patients are no longer a negative factor for a free flap transfer.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Health Science, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors.forename: Yun Sub
authors.initials: YS
authors.lastname: Lim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Health Science, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors.forename: Jun Sik
authors.initials: JS
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Health Science, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors.forename: Nam Gyun
authors.initials: NG
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Health Science, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors.forename: Kyung Suk
authors.initials: KS
authors.lastname: Lee
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Health Science, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Choi
authors.affiliation: Department of Plastic and Reconstructive Surgery, Changwon Samsung Medical Center, Sungkyunkwan University School of Medicine, Changwon, Korea.
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Park
keywords: Free tissue flaps; Postoperative complication; Risk factors