Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction
임범진, 신진용, 노시균, 이내호, 정윤규,
소속 상세정보
임범진 ( Lim Beom-Jin )
신진용 ( Shin Jin-Yong )
Chonbuk National University Medical School Departments of Plastic and Reconstructive Surgery
노시균 ( Roh Si-Gyun )
Chonbuk National University Medical School Departments of Plastic and Reconstructive Surgery
이내호 ( Lee Nae-Ho )
정윤규 ( Chung Yoon-Kyu )
Abstract
Background : Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure.
Methods : This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021.
Results : During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery.
Conclusion : Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.
키워드
Free tissue flaps; Head and neck neoplasms; Microsurgery; Reconstructive surgery
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