Free tissue transfer in patients over 75 with head and neck malignancy

1998 ◽  
Vol 21 (6) ◽  
pp. 303-307 ◽  
Author(s):  
A. M. Richards ◽  
R. P. Cole
2010 ◽  
Vol 179 (3) ◽  
pp. 337-343 ◽  
Author(s):  
J. P. O’Neill ◽  
N. Shine ◽  
P. A. Eadie ◽  
E. Beausang ◽  
C. Timon

ORL ◽  
2021 ◽  
pp. 1-3
Author(s):  
Jérôme R. Lechien ◽  
Daphné Delplace ◽  
Mohamad Khalife ◽  
Sven Saussez

Neutrophilic febrile dermatosis (NFD) is a rare paraneoplastic syndrome that may be found in patients with head and neck cancer. NFD may appear before the neoplasia and may only concern the dorsal faces of the hands. This article reports the NFD findings of a patient with pharyngeal cancer, which was developed 2 years after the occurrence of NFD. The development of NFD in patient with alcohol and tobacco consumption should lead otolaryngologists and dermatologists to suspect head and neck malignancy. In cases of normal otolaryngological examination, patients have to be followed.


Author(s):  
Ricardo Lugo ◽  
Fawaz Alotaibi ◽  
Brett Shirley ◽  
Dongsoo David Kim ◽  
Paul Covello ◽  
...  

2021 ◽  
Vol 54 (02) ◽  
pp. 118-123
Author(s):  
Rajan Arora ◽  
Kripa Shanker Mishra ◽  
Hemant T. Bhoye ◽  
Ajay Kumar Dewan ◽  
Ravi K. Singh ◽  
...  

Abstract Background There is a steep learning curve to attain a consistently good result in microvascular surgery. The venous anastomosis is a critical step in free-tissue transfer. The margin of error is less and the outcome depends on the surgeon’s skill and technique. Mechanical anastomotic coupling device (MACD) has been proven to be an effective alternative to hand-sewn (HS) technique for venous anastomosis, as it requires lesser skill. However, its feasibility of application in emerging economy countries is yet to be established. Material and Method We retrospectively analyzed the data of patients who underwent free-tissue transfer for head and neck reconstruction between July 2015 and October 2020. Based on the technique used for the venous anastomosis, the patients were divided into an HS technique and MACD group. Patient characteristics and outcomes were measured. Result A total of 1694 venous anastomoses were performed during the study period. There were 966 patients in the HS technique group and 719 in the MACD group. There was no statistically significant difference between the two groups in terms of age, sex, prior radiotherapy, prior surgery, and comorbidities. Venous thrombosis was noted in 62 (6.4%) patients in the HS technique group and 7 (0.97%) in the MACD group (p = 0.000). The mean time taken for venous anastomosis in the HS group was 17 ± 4 minutes, and in the MACD group, it was 5 ± 2 minutes (p = 0.0001). Twenty-five (2.56%) patients in the HS group and 4 (0.55%) patients in MACD group had flap loss (p = 0.001). Conclusion MACD is an effective alternative for HS technique for venous anastomosis. There is a significant reduction in anastomosis time, flap loss, and return to operation theater due to venous thrombosis. MACD reduces the surgeon’s strain, especially in a high-volume center. Prospective randomized studies including economic analysis are required to prove the cost-effectiveness of coupler devices.


Head & Neck ◽  
2015 ◽  
Vol 37 (12) ◽  
pp. 1799-1807 ◽  
Author(s):  
Mawaddah Azman ◽  
Mohd Razif Mohd Yunus ◽  
Suhaina Sulaiman ◽  
Syed Nabil Syed Omar

2013 ◽  
Vol 29 (10) ◽  
pp. e4-e5 ◽  
Author(s):  
Daniel Mendelsohn ◽  
Manish Ranjan ◽  
Pippa Hawley ◽  
Christopher R. Honey

1992 ◽  
Vol 102 (1) ◽  
pp. 26???32 ◽  
Author(s):  
Dan J. Castro ◽  
Robert B. Lufkin ◽  
Romaine E. Saxton ◽  
Anthony Nyerges ◽  
Jacques Soudant ◽  
...  

1984 ◽  
Vol 6 (5) ◽  
pp. 948-952 ◽  
Author(s):  
Yuval Zohar ◽  
Reuben Ben Tovim ◽  
Nello Laurian ◽  
Lydia Laurian

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