Liverpool Opinion on Unfavorable Results in Microsurgical Head and Neck Reconstruction: Lessons Learned.
This article annotates a philosophy toward achieving best results for the patient with head and neck cancer, in particular relating to oral, mandibular, and maxillary resection. At the same time are highlighted the pitfalls that, if not avoided, are likely to result in a poor outcome even with a successful flap transfer. There is a paucity of evidence to support clinical practice in head and neck reconstruction such that much of the discussion presented is opinion-based rather than evidence-based.
Department of Head and Neck Surgery, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK; Northwest Cancer Research Centre, Liverpool University, London Road, Liverpool L39 9TA, UK. Electronic address: brownjs@doctors.org.uk.
James
J
Brown
Department of Head and Neck Surgery, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK; Northwest Cancer Research Centre, Liverpool University, London Road, Liverpool L39 9TA, UK.
Andrew
A
Schache
Maxillofacial Prosthodontics, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK; Prosthodontic Department, Liverpool University Dental Hospital, Pembroke Place, Liverpool L3 5PS, UK.
Chris
C
Butterworth
D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000009:adverse effects* / Q000379:methods; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D013524:Surgical Flaps / Q000009:adverse effects* / Q000098:blood supply; D014947:Wounds and Injuries / Q000601:surgery*
Complications; Flap transfer; Head and neck; Mandible; Maxilla; Microsurgery; Microvascular; Pitfalls; Reconstruction