Mount Sinai Medical Center and Their Experience with Unfavorable Microsurgical Head and Neck Reconstruction.
Radiation effects on tissues greatly complicate reconstruction of head and neck defects. We discuss the unfavorable surgical conditions set up by prior surgery and radiation in patients undergoing salvage ablation of recurrent cancer. With the focus on vessel selection, flap donor site characteristics, and management of potential complications, we hope to highlight some of the lessons learned from these complex cases. Special attention is given to the topic of laryngopharyngeal reconstruction.
Head and Neck Oncologic and Reconstructive Surgery, Department of Otolaryngology, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA. Electronic address: ilikhterov@chpnet.org.
Ilya
I
Likhterov
Division of Head and Neck Surgical Oncology, Department of Otolaryngology, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA.
Mark
M
Urken
D002921:Cicatrix / Q000209:etiology / Q000601:surgery; D006257:Head / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D009333:Neck / Q000601:surgery; D011300:Preoperative Care; D011878:Radiotherapy / Q000009:adverse effects*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D016879:Salvage Therapy; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*
Complications; Laryngopharyngeal reconstruction; Postradiation; Salivary leak; Salvage