Flow-Through Flaps as a Robust Method for Advanced Free Flap Reconstruction in the Head and Neck: A Multi-Institutional Experience.
Abstract
[BACKGROUND] Flow-through flaps (FTFs) are an advanced technique in which a free flap is anastomosed to the pedicle of another free flap to reconstruct extensive head and neck defects when recipient vessels are scarce.
[METHODS] A multi-institutional cohort of FTFs used for head and neck reconstruction were reviewed. For comparison, FTF outcomes were compared to free flaps that required vein grafts (VG) to reach distant recipient vessels.
[RESULTS] A total of forty-two patients underwent surgery using a FTF configuration, including 32 simultaneous and 10 sequential FTFs. There were no instances of flap failure compared to a 7% flap failure rate in the VG group (n = 54). The overall postoperative complication rate was 28% compared to a 46% complication rate in the VG group (p = 0.093).
[CONCLUSION] FTFs are a reliable option for reconstruction of extensive head and neck defects when recipient blood vessel availability is limited.
[METHODS] A multi-institutional cohort of FTFs used for head and neck reconstruction were reviewed. For comparison, FTF outcomes were compared to free flaps that required vein grafts (VG) to reach distant recipient vessels.
[RESULTS] A total of forty-two patients underwent surgery using a FTF configuration, including 32 simultaneous and 10 sequential FTFs. There were no instances of flap failure compared to a 7% flap failure rate in the VG group (n = 54). The overall postoperative complication rate was 28% compared to a 46% complication rate in the VG group (p = 0.093).
[CONCLUSION] FTFs are a reliable option for reconstruction of extensive head and neck defects when recipient blood vessel availability is limited.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 3 | |
| 시술 | flap
|
피판재건술 | dict | 2 | |
| 해부 | Flaps
|
scispacy | 1 | ||
| 해부 | vein grafts
|
scispacy | 1 | ||
| 합병증 | flaps
|
scispacy | 1 | ||
| 합병증 | flap failure
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] Flow-through
|
scispacy | 1 | ||
| 약물 | FTFs
→ Flow-through flaps
|
scispacy | 1 | ||
| 약물 | [RESULTS] A
|
scispacy | 1 | ||
| 약물 | [CONCLUSION] FTFs
|
scispacy | 1 | ||
| 질환 | extensive head and neck defects
|
scispacy | 1 | ||
| 질환 | head and neck reconstruction
|
scispacy | 1 | ||
| 질환 | head and neck defects
|
scispacy | 1 | ||
| 질환 | Head and Neck: A Multi-Institutional
|
scispacy | 1 | ||
| 질환 | head and neck
|
scispacy | 1 | ||
| 기타 | vessels
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | vessel
|
scispacy | 1 |
MeSH Terms
Humans; Free Tissue Flaps; Head and Neck Neoplasms; Male; Female; Plastic Surgery Procedures; Middle Aged; Aged; Retrospective Studies; Adult; Treatment Outcome; Postoperative Complications; Aged, 80 and over; Graft Survival
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- Endodontic implications of hypercementosis: A systematic review of anatomical challenges and therapeutic strategies.
- Breast plastic surgery in perimenopausal and postmenopausal women: Menopause-informed counseling on screening, safety, and long-term breast health.
- Application of the SCIA-Pure Skin Perforator Flap in Bilateral Upper Eyelid Reconstruction: A Case Report and Review of the Literature.
- Free flap reconstruction of a cast-related pressure ulcer in a pediatric patient with spinal muscular atrophy.
- Characterization of Trimmed Nerve Morphology Using High-Resolution Imaging: Comparison of Three Surgical Instruments.