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2005•China Journal of Oral and Maxillofacial SurgeryRequires access

How to improve the success rate of free flap reconstruction in head and neck surgery

Huang Min-xia

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Abstract

PURPOSE: To analyze the reliability and safety of free flap transfers in head and neck reconstruction. METHODS: Two hundred consecutive free flap transfers performed in 194 patients from January of 2004 to December of 2004 were reviewed. Data concerning the operation included date of surgery, defect description and site, stage and histology of tumor, flap type, recipient vessel and complications. RESULTS: Seven kinds of free flap were used in this series, they were free fibular flap, free radial forearm flap, free anterolateral thigh flap, free jejunal flap, free rectus abdominis flap, free scapular flap, and free latissimus dorsi flap. The overall success rate of free flap was 99.5%. The overall complication rate was 24.2%. The vessel thrombosis rate was 2%, and the flap salvage rate was 75%. CONCLUSIONS: Free flap in head and neck reconstruction is very safe and reliable. The success rate can reach nearly 100% if every precaution is taken before, during, and after operation.

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What this paper is about

PURPOSE: To analyze the reliability and safety of free flap transfers in head and neck reconstruction. METHODS: Two hundred consecutive free flap transfers performed in 194 patients from January of 2004 to December of 2004 were reviewed. Data concerning the operation included date of surgery, defect description and site, stage and histology of tumor, flap type, recipient vessel and complications. RESULTS: Seven kinds of free flap were used in this series, they were free fibular flap, free radial forearm flap, free anterolateral thigh flap, free jejunal flap, free rectus abdominis flap, free scapular flap, and free latissimus dorsi flap. The overall success rate of free flap was 99.5%. The overall complication rate was 24.2%. The vessel thrombosis rate was 2%, and the flap salvage rate was 75%. CONCLUSIONS: Free flap in head and neck reconstruction is very safe and reliable. The success rate can reach nearly 100% if every precaution is taken before, during, and after operation.

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Available abstract

PURPOSE: To analyze the reliability and safety of free flap transfers in head and neck reconstruction. METHODS: Two hundred consecutive free flap transfers performed in 194 patients from January of 2004 to December of 2004 were reviewed. Data concerning the operation included date of surgery, defect description and site, stage and histology of tumor, flap type, recipient vessel and complications. RESULTS: Seven kinds of free flap were used in this series, they were free fibular flap, free radial forearm flap, free anterolateral thigh flap, free jejunal flap, free rectus abdominis flap, free scapular flap, and free latissimus dorsi flap. The overall success rate of free flap was 99.5%. The overall complication rate was 24.2%. The vessel thrombosis rate was 2%, and the flap salvage rate was 75%. CONCLUSIONS: Free flap in head and neck reconstruction is very safe and reliable. The success rate can reach nearly 100% if every precaution is taken before, during, and after operation.

Key concepts: Free flap, Medicine, Surgery, Head and neck, Free flap reconstruction, Microsurgery

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