Immediate Negative Pressure Wound Therapy After Free Flap Transfer for Head and Neck Cancer Surgery

2018 ◽  
Vol 128 (11) ◽  
pp. 2478-2482 ◽  
Author(s):  
Pao-Yuan Lin ◽  
Tz-Luen Liou ◽  
Ko-Chien Lin ◽  
Mu-Han Hsieh ◽  
Chih-Yen Chien ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cancer Surgery ◽  
Wound Therapy ◽  
Flap Transfer ◽  
Free Flap Transfer

scholarly journals Impact of Previous Irradiation on Wound Healing after Negative Pressure Wound Therapy in Head and Neck Cancer Patients—A Systematic Review

Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2482
Author(s):  
Muhammad Faisal ◽  
Peter D. Berend ◽  
Rudolf Seemann ◽  
Stefan Janik ◽  
Stefan Grasl ◽  
...  
Keyword(s):  
Wound Healing ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cochrane Library ◽  
Wound Therapy ◽  
Previous Irradiation

(1) Background: Negative pressure wound therapy (NPWT) has been effectively used for wound management in comparison to traditional dressings. The purpose of this study was to provide an evidence-based review of NPWT in head and neck cancer patients, as well as the impact of previous irradiation and other risk factors on wound healing. (2) Material and Methods: We conducted a comprehensive search in PubMed, Medline, Embase, Web of Science, and Cochrane Library databases for relevant literature. (3) Results: 15 studies fulfilled the inclusion criteria. The most common etiologies requiring NPWT were defects post tumor resection and flap reconstruction and oro/pharyngo-cutaneous fistulas. The neck was found to be the most common site of involvement (47.3%). The overall wound healing response rate was 87.5%. The median negative pressure recorded was 125 mm of Hg, with a median dressing change time of three days. Previous irradiation (p = 0.01; OR = 4.07) and diabetes mellitus (DM) (p = 0.001; OR = 5.62) were found to be significantly associated with delayed wound healing after NPWT. (4) Conclusion: NPWT treats complex wounds in head and neck cancer patients and should represent a significant armamentarium in head and neck cancers. Previous irradiation and DM have detrimental effects on wound healing after NPWT.

scholarly journals Experience of Negative Pressure Wound Therapy performed after Surgery for Head and Neck Cancer: A Report of Six Cases

2019 ◽  
Vol 122 (3) ◽  
pp. 216-224
Author(s):  
Yukiomi Kushihashi ◽  
Kenichiro Ikeda ◽  
Syunya Egawa ◽  
Kojiro Hirano ◽  
Isao Suzaki ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy

Analysis of Salvage Treatments following the Failure of Free Flap Transfer Caused by Vascular Thrombosis in Reconstruction for Head and Neck Cancer

2007 ◽  
Vol 119 (4) ◽  
pp. 1223-1232 ◽  
Author(s):  
Mutsumi Okazaki ◽  
Hirotaka Asato ◽  
Akihiko Takushima ◽  
Shunji Sarukawa ◽  
Takashi Nakatsuka ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Vascular Thrombosis ◽  
Flap Transfer ◽  
Free Flap Transfer

scholarly journals Optimal Perioperative Care in Major Head and Neck Cancer Surgery With Free Flap Reconstruction

2017 ◽  
Vol 143 (3) ◽  
pp. 292 ◽  
Author(s):  
Joseph C. Dort ◽  
D. Gregory Farwell ◽  
Merran Findlay ◽  
Gerhard F. Huber ◽  
Paul Kerr ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Perioperative Care ◽  
Cancer Surgery ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

scholarly journals Reconstruction with free flaps in robotic head-and-neck onco-surgeries

2018 ◽  
Vol 51 (03) ◽  
pp. 283-289 ◽  
Author(s):  
Rajan Arora ◽  
Vinay Kumar Verma ◽  
Kripa Shanker Mishra ◽  
Hemant Bhoye ◽  
Rahul Kapoor
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Dissection ◽  
Neck Cancer ◽  
Free Flap ◽  
Free Flaps ◽  
Cancer Surgery ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Good Outcome

ABSTRACT Aims and Objective: The aim of the present article is to highlight how reconstruction with free flaps is different and difficult in cases with robotic head-and-neck cancer surgery. It also highlights the technical guidelines on how to manage the difficulties. Materials and Methods: Eleven patients with oropharyngeal cancer having undergone tumour excision followed by free-flap reconstruction been reviewed here. Nine patients had tumour excision done robotically through intraoral route while neck dissection done with transverse neck crease incision. There is a problem of difficult flap inset in this group of patient. Two patients had intraoral excision of tumour followed by robotic neck dissection via retroauricular incision. With no incision directly on the neck, microvascular anastomosis is challenging in this set of patients. Free flap was used in all the cases to reconstruct the defect. Results: Successful reconstruction with free flap was done in all the cases with good outcome both functionally and aesthetically. Conclusion: Free-flap reconstruction is possible in robotic head-and-neck cancer surgery despite small and difficult access, but it does need practice and some technical modifications for good outcome.

scholarly journals Pectoralis major myocutaneous flap in salvage reconstruction following free flap failure in head and neck cancer surgery

2018 ◽  
Vol 47 (1) ◽  
pp. 76-83 ◽  
Author(s):  
Wei Wei ◽  
Yongsheng Qiu ◽  
Qigen Fang ◽  
Yingping Jia
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Cancer Surgery ◽  
Pectoralis Major ◽  
Primary Group ◽  
Flap Failure

Objective This study aimed to compare the results of the pectoralis major myocutaneous (PMM) flap in primary and salvage head and neck cancer surgery. Methods A total of 160 patients were enrolled in this study. The salvage group consisted of 30 patients who received immediate PMM flap surgery following free flap failure. In the primary group, the PMM flap was primarily chosen for 130 patients. Related information was collected and analysed. The University of Washington (UW)-Quality of Life questionnaire, version 4, was mailed to every patient. Results Partial necrosis was significantly lower in the primary group (n = 13, 10.0%) than in the salvage group (n = 7, 23.3%). Surgical site infection was found in 10 (7.8%) patients in the primary group and in six (20.0%) patients in the salvage group. The mean composite quality of life scores were 66.8 ± 20.5 and 66.2 ± 22.1 in the two groups, respectively. Differences in scores for domains of activity, mood, and anxiety were significant. Disease-specific survival and recurrence-free survival rates were not different between the two groups. Conclusion PMM flap salvage reconstruction has a higher complication rate and poorer functional results, but similar survival prognosis, compared with primary surgery.

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