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COMPLICATION OF MICROVASCULAR FREE FLAP RECONSTRUCTION FOR THE HEAD AND NECK

Accession number;04A0146785

Title;COMPLICATION OF MICROVASCULAR FREE FLAP RECONSTRUCTION FOR THE HEAD AND NECK

Author;YOSHIMOTO SEIICHI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) KAMATA SHIN'ETSU(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) KAWABATA KAZUYOSHI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) NIGAURI TOMOHIKO(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) HOKI KATSUFUMI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) MITANI HIROKI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) YONEKAWA HIROYUKI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) MIURA KOKI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN) BEPPU TAKESHI(Japanese Foundation for Cancer Res., Cancer Inst. Hospital, JPN)

Journal Title;Head and Neck Cancer

Journal Code:Y0503A

ISSN:0911-4335

VOL.28;NO.3;PAGE.500-505(2002)

Figure&Table&Reference;FIG.2, TBL.3, REF.6

Pub. Country;Japan

Language;Japanese

Abstract;We performed microvascular free flap reconstruction on 1,853 patients with head and neck tumors during the past 20 years. The types of free flaps used for reconstruction were radial forearm, 705 cases; jejunum, 490 cases; rectus abnominis, 436 cases; latissimus dorsi, 105 cases; scapula, 57 cases; others, 9 cases, and more than two flaps at the same time, 41 cases. The overall complication rate was 24.3%. Systemic complications occurred in 3.5%, and the mortality rate within 30 days of surgery was 0.5%. Total flap necrosis occurred in 2.7%. Fifteen patients over the age of 80 underwent microvascular free flap reconstruction. The highest age was 88. All these free flaps survived. (author abst.)