scholarly journals Is the microsurgical end-to-side continuous suture technique a safe and favourable procedure for free flap reconstruction of the head and neck? The experience of over 750 microsurgical free flaps

2017 ◽  
Vol 46 ◽  
pp. 178-179
Author(s):  
C. Dinu ◽  
H. Nachawati ◽  
M. Kos ◽  
E. Gudewer ◽  
L. Li
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Free Flaps ◽  
Suture Technique ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Continuous Suture ◽  
Microsurgical Free Flaps

scholarly journals Reconstruction with free flaps in robotic head-and-neck onco-surgeries

2018 ◽  
Vol 51 (03) ◽  
pp. 283-289 ◽  
Author(s):  
Rajan Arora ◽  
Vinay Kumar Verma ◽  
Kripa Shanker Mishra ◽  
Hemant Bhoye ◽  
Rahul Kapoor
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Dissection ◽  
Neck Cancer ◽  
Free Flap ◽  
Free Flaps ◽  
Cancer Surgery ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Good Outcome

ABSTRACT Aims and Objective: The aim of the present article is to highlight how reconstruction with free flaps is different and difficult in cases with robotic head-and-neck cancer surgery. It also highlights the technical guidelines on how to manage the difficulties. Materials and Methods: Eleven patients with oropharyngeal cancer having undergone tumour excision followed by free-flap reconstruction been reviewed here. Nine patients had tumour excision done robotically through intraoral route while neck dissection done with transverse neck crease incision. There is a problem of difficult flap inset in this group of patient. Two patients had intraoral excision of tumour followed by robotic neck dissection via retroauricular incision. With no incision directly on the neck, microvascular anastomosis is challenging in this set of patients. Free flap was used in all the cases to reconstruct the defect. Results: Successful reconstruction with free flap was done in all the cases with good outcome both functionally and aesthetically. Conclusion: Free-flap reconstruction is possible in robotic head-and-neck cancer surgery despite small and difficult access, but it does need practice and some technical modifications for good outcome.

scholarly journals Is sequential free flap safe in oral cancer reconstruction in the same patient? An outcome and complication analysis

2019 ◽  
Author(s):  
Wen-Kuan Chiu ◽  
Chang-Yi Chou ◽  
Shyi-Gen Chen ◽  
Chiehfeng Chen ◽  
Hsian-Jenn Wang ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Head And Neck ◽  
Free Flap ◽  
Odds Ratio ◽  
Free Flaps ◽  
Anterolateral Thigh Flap ◽  
Second Primary ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Significant Difference

Abstract Background Sequential free flap reconstruction in patient with head and neck cancer can provide reliable and effective wound coverage. Only a few studies have reported on the outcome and complications analysis but without consensus on the recipient vessels and flap chosen. Herein, we presented the outcome and analysed the risk factors for complications in sequential free flap reconstruction. Patients and methods Patients who had sequential free tissue transfers due to cancer recurrence, second primary cancer, or secondary correction of the soft tissue contractures and volume deficits were all included. Variables extracted included demographics, comorbidities, free flap characteristics, infection, dehiscence and flap necrosis rates. Results In total, 40 patients with 92 free flaps were analyzed; 42 initial and 50 sequential free flaps. The most common recipient vessels for sequential flap were contralateral superficial thyroid vessels (68%). The most common flap for both initial and sequential free flap was anterolateral thigh flap (64.3 and 62%). The success rate of sequential free flap was 92.0 compared to 92.9% for initial free flap, which showed no significant difference. Female was independently associated with delayed wound healing with an odds ratio of 90.91 (95% confidence interval 0.001–0.17, P = 0.001), as well as diabetes with an odds ratio of 31.14 (95% confidence interval 2.60–373.19, P = 0.007). Sequential free flap was not a risk factor for any complication. Conclusions Sequential free flap is a reliable method for head and neck surgery without more complication rate comparing to initial free flap reconstruction. More attentions should be paid on patients with preferential risk for certain complications.

Free Flap Reconstruction in the Head and Neck. Indications, Technical Aspects and Outcomes

2014 ◽  
Vol 65 (1) ◽  
pp. 33-42
Author(s):  
José Luis Llorente ◽  
Fernando López ◽  
Vanessa Suárez ◽  
Ángel Fueyo ◽  
Susana Carnero ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Technical Aspects

scholarly journals Postoperative care in an intermediate-level medical unit after head and neck microvascular free flap reconstruction

2018 ◽  
Vol 4 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Phoebe K. Yu ◽  
Rosh K.V. Sethi ◽  
Vinay Rathi ◽  
Sidharth V. Puram ◽  
Derrick T. Lin ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Postoperative Care ◽  
Intermediate Level ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Medical Unit ◽  
Microvascular Free Flap

scholarly journals Use of the Anterolateral Thigh in Cranio-Orbitofacial Reconstruction

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
William J. Parkes ◽  
Howard Krein ◽  
Ryan Heffelfinger ◽  
Joseph Curry
Keyword(s):  
Free Flap ◽  
Case Series ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Tissue Loss ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Anterolateral Thigh ◽  
The Many ◽  
Soft Tissue Loss

Objective. To detail the clinical outcomes of a series of patients having undergone free flap reconstruction of the orbit and periorbita and highlight the anterolateral thigh (ALT) as a workhorse for addressing defects in this region. Methods. A review of 47 patients who underwent free flap reconstruction for orbital or periorbital defects between September 2006 and May 2011 was performed. Data reviewed included demographics, defect characteristics, free flap used, additional reconstructive techniques employed, length of stay, complications, and follow-up. The ALT subset of the case series was the focus of the data reviewed for this paper. Selected cases were described to highlight some of the advantages of employing the ALT for cranio-orbitofacial reconstruction. Results. 51 free flaps in 47 patients were reviewed. 38 cases required orbital exenteration. The ALT was used in 33 patients. Complications included 1 hematoma, 2 wound infections, 3 CSF leaks, and 3 flap failures. Conclusions. Free tissue transfer allows for the safe and effective reconstruction of complex defects of the orbit and periorbital structures. Reconstructive choice is dependent upon the extent of soft tissue loss, midfacial bone loss, and skullbase involvement. The ALT provides a versatile option to reconstruct the many cranio-orbitofacial defects encountered.

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