Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Hospital and Okayama University Hospital.
The risk of surgical site infection (SSI) remains high after major reconstructive surgery of the head and neck. Clinical data regarding SSI in microsurgical tongue reconstruction are described at National Cancer Hospital in Japan, including discussions of unfavorable representative cases, the relationship between SSI and preoperative irradiation at Okayama University Hospital in Japan, and strategies for SSI control in head and neck reconstruction. Local complications are inevitable in patients undergoing reconstruction in the head and neck areas. The frequency of major complications can be decreased, and late postoperative complications can be prevented with the help of appropriate methods.
Department of Plastic and Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan. Electronic address: ykimata@cc.okayama-u.ac.jp.
Yoshihiro
Y
Kimata
Department of Plastic and Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan.
Hiroshi
H
Matsumoto
Department of Plastic and Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan.
Narusi
N
Sugiyama
Department of Plastic and Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan.
Satoshi
S
Onoda
Division of Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.
Minoru
M
Sakuraba
D006257:Head / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D007564:Japan; D008866:Microsurgery / Q000009:adverse effects / Q000379:methods; D009333:Neck / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome
Microvascular head and neck reconstruction; Postoperative complications; Strategies for complications; Surgical site infection; Unfavorable result cases