scholarly journals Risk factors of thrombosis in a single method of microsurgical head and neck reconstruction: A multi-institutional study of 773 reconstructions with a free jejunal graft after total pharyngolaryngoesophagectomy for hypopharyngeal cancer

Head & Neck ◽  
2016 ◽  
Vol 38 (11) ◽  
pp. 1688-1694 ◽  
Author(s):  
Narushi Sugiyama ◽  
Soshi Takao ◽  
Etsuji Suzuki ◽  
Yoshihiro Kimata
1981 ◽  
Vol 91 (11) ◽  
pp. 1887???1895 ◽  
Author(s):  
JACK L. GLUCKMAN ◽  
JOHN McDONOUGH ◽  
J. OLIVER DONEGAN ◽  
JOHN D. CRISSMAN ◽  
WILLIAM FULLEN ◽  
...  

Head & Neck ◽  
2015 ◽  
Vol 38 (S1) ◽  
pp. E771-E775 ◽  
Author(s):  
Edward I. Chang ◽  
Hong Zhang ◽  
Jun Liu ◽  
Peirong Yu ◽  
Roman J. Skoracki ◽  
...  

2019 ◽  
Vol 12 (3) ◽  
pp. 183-192 ◽  
Author(s):  
Pieter-Jan Verhelst ◽  
Flore Dons ◽  
Pieter-Jan Van Bever ◽  
Joseph Schoenaers ◽  
Lloyd Nanhekhan ◽  
...  

The fibula free flap (FFF) has been a workhorse in maxillofacial reconstruction. High success rates of this technique are reported. However, identifying risk factors for flap failure and analyzing complications can open the way to better patient care. A retrospective analysis was conducted of all FFFs performed over a 20-year period at a low-volume single tertiary center to identify risk factors and postoperative complications. A total of 129 FFFs were included (122 mandible, 7 maxilla). Complete flap failure occurred in 12.4% and partial flap failure in 7.8% of patients. A significant relation was found between younger age and flap failure, and most failures were associated with venous thrombosis. In-hospital surgical complications occurred in 60.5%, in-hospital medical complications in 49.6%, and out-of-hospital complications in 77.5% of patients. The in-hospital reintervention rate was 27.1%, and including salvaged flaps, flap survival rate was 87.6%. Osteomyocutaneous FFF failure (complete 12.4%; partial 7.8%) is an important clinical reality in a low-volume head and neck reconstruction center resulting in an in-hospital reintervention rate of 27.1%. Postoperative complications are frequent, both surgical and out-hospital complications. These results provide a better understanding of the limitations of the FFF in a low-volume center and can be used to optimize care in this kind of setting.


2010 ◽  
Vol 267 (10) ◽  
pp. 1629-1633 ◽  
Author(s):  
Young-Hoon Joo ◽  
Dong-Il Sun ◽  
Jun-Ook Park ◽  
Kwang-Jae Cho ◽  
Min-Sik Kim

1994 ◽  
Vol 111 (5) ◽  
pp. 557-560 ◽  
Author(s):  
J TRUELSON ◽  
J LEACH ◽  
L CLOSE

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
G. Pons ◽  
J. Masia ◽  
J. Sancho ◽  
J. Larrañaga ◽  
P. Serret

2021 ◽  
pp. 100330
Author(s):  
Alyssa Ovaitt ◽  
Matthew Fort ◽  
Kirk Withrow ◽  
Brian Hughley

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