Free Flap Reconstruction of Foot and Ankle Defects in Pediatric Patients: Long-Term Outcome in 91 Cases

2006 ◽  
Vol 117 (7) ◽  
pp. 2478-2487 ◽  
Author(s):  
Chih-Hung Lin ◽  
Samir Mardini ◽  
Fu-Chan Wei ◽  
Yu-Te Lin ◽  
Chien-Tzung Chen
Keyword(s):  
Free Flap ◽  
Pediatric Patients ◽  
Flap Reconstruction ◽  
Foot And Ankle ◽  
Free Flap Reconstruction ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Long-Term Outcome after Successful Lower Extremity Free Flap Salvage

2018 ◽  
Vol 35 (04) ◽  
pp. 263-269 ◽  
Author(s):  
Amir Bigdeli ◽  
Emre Gazyakan ◽  
Volker Schmidt ◽  
Christoph Bauer ◽  
Günter Germann ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Free Flaps ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Component Score ◽  
Sf 36 ◽  
The Mean

Background Vascular occlusion after free flap surgery has become a rare complication but still poses a major challenge. It necessitates urgent re-exploration, but the logistic challenge to provide sufficient resources for the emergency intervention remains. The aim of this study was to analyze the long-term outcome after successful lower extremity free flap salvage. Methods A single-center retrospective study including long-term follow-up was approved by the local ethics committee. From January 1999 to December 2010, a total of 581 free flaps were performed for lower extremity reconstruction. Eighty-six flaps required emergency re-exploration, of which 65 could be salvaged. Fifteen salvaged flaps were excluded from the study because of secondary amputation. Of 50 patients, 29 (6 females and 23 males) were eligible for follow-up. The mean follow-up time was 54.5 ± 32.9 months. Health-related quality of life (Short Form 36 [SF-36]) and scar quality (Vancouver Scar Scale [VSS]) were analyzed. Results The overall flap survival rate was 94.7% and the total loss rate was 5.3%. The re-exploration rate was 14.8% (86 of 581 flaps). The salvage rate was 75.6% (65 of 86 flaps). Twenty-one free flaps were totally lost (24.4%). Partial flap loss occurred in 12 cases (14.0%); 67.5% of the vascular complications occurred during the first 24 hours, 20.9% between 24 and 72 hours, and 11.6% after more than 72 hours. The mean time from the first signs of impaired flap perfusion to re-exploration was 1.3 ± 0.4 hours, and from free tissue transfer to re-exploration was 16.2 ± 1.9 hours. The overall scar appearance was good with an average VSS score of 4.0 points. The average SF-36 physical component score was 54.4 ± 5.4 and the mental component score was 63.1 ± 10.7. Conclusion Careful monitoring and the opportunity for urgent re-exploration are the key to success for free flaps salvage. Following these principles, an acceptable long-term outcome can be achieved.

Long-term Outcome and Clinical Spectrum of 73 Pediatric Patients With Mitochondrial Diseases

PEDIATRICS ◽  
2007 ◽  
Vol 119 (4) ◽  
pp. 722-733 ◽  
Author(s):  
F.-G. Debray ◽  
M. Lambert ◽  
I. Chevalier ◽  
Y. Robitaille ◽  
J.-C. Decarie ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Mitochondrial Diseases ◽  
Clinical Spectrum ◽  
Term Outcome ◽  
Long Term Outcome

Assessing the Influence of Failed Implant Reconstruction on Patient Satisfaction and Decision Regret after Salvage Free-Flap Breast Reconstruction

2021 ◽  
Author(s):  
Ronnie L. Shammas ◽  
Amanda R. Sergesketter ◽  
Mahsa Taskindoust ◽  
Sonali Biswas ◽  
Scott T. Hollenbeck ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Well Being ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Decision Regret ◽  
History Of ◽  
Implant Reconstruction

Abstract Background Free-flap breast reconstruction after failed implant reconstruction is associated with improved patient outcomes. How the level of satisfaction achieved compares between patients with and without previously failed implant reconstruction remains unknown. The aim of this study was to assess the influence of prior failed implant-based reconstruction on long-term patient-reported outcomes after free-flap breast reconstruction. Methods All patients undergoing free-flap breast reconstruction between 2015 and 2019 were identified. Patient satisfaction using the BREAST-Q and decisional regret using the Decision Regret Scale were compared between patients with and without a history of implant breast reconstruction. Results Overall, 207 patients were contacted and 131 completed the BREAST-Q and Decision Regret Scale. A total of 23 patients had a history of failed implant-based reconstruction requiring free-flap-flap salvage, most commonly due to infection (39.1%), chronic pain (34.8%), capsular contracture (26%), and implant malposition (26.1%). Following definitive free-flap reconstruction, patients with prior failed implant reconstruction had significantly lower BREAST-Q scores for satisfaction with breast (61.2 ± 16.7 vs. 70.4 ± 18.7; p = 0.04) and sexual well-being (38.5 ± 18.2 vs. 52.8 ± 24.7; p = 0.01) and reported higher decision regret (19.1 ± 18.6 vs. 9.6 ± 15.6, respectively). There were no significant differences for psychosocial well-being (p = 0.67), physical well-being (chest; p = 0.27), and physical well-being (abdomen; p = 0.91). Conclusion A history of failed implant-based reconstruction is associated with reduced satisfaction and increased decision regret with the final reconstructive outcome. This data underscores the importance of appropriate patient selection at the initial consultation, and informed preoperative counseling regarding long-term outcomes in patients presenting for free-flap reconstruction after a failed implant-based reconstruction.

Long-term Outcomes After Pediatric Free Flap Reconstruction

2018 ◽  
Vol 81 (4) ◽  
pp. 449-455 ◽  
Author(s):  
Lee W. T. Alkureishi ◽  
Chad A. Purnell ◽  
Patricia Park ◽  
Bruce S. Bauer ◽  
Neil A. Fine ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Long Term Outcomes

924 Long-Term Outcome Following Infliximab Therapy in Pediatric Patients with Crohn Disease: Results from a Multicenter Study

2008 ◽  
Vol 134 (4) ◽  
pp. A-134-A-135 ◽  
Author(s):  
Jeffrey S. Hyams ◽  
Trudy Lerer ◽  
Marian D. Pfefferkorn ◽  
Subra Kugathasan ◽  
Jonathan Evans ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Crohn Disease ◽  
Pediatric Patients ◽  
Infliximab Therapy ◽  
Term Outcome ◽  
Long Term Outcome

Multifocal Epithelioid Hemangioendothelioma of the Foot and Ankle Developing a Postoperative Infection—Long-term Outcome: A Case Report

2017 ◽  
Vol 56 (3) ◽  
pp. 638-642 ◽  
Author(s):  
Ilias Bisbinas ◽  
Zacharoula Karabouta ◽  
Vasileios Lampridis ◽  
Dimitrios Georgiannos ◽  
Athanasios Badekas
Keyword(s):  
Case Report ◽  
Postoperative Infection ◽  
Epithelioid Hemangioendothelioma ◽  
Foot And Ankle ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Effect of Blood Transfusion on Short- and Long-Term Outcomes in Oral Squamous Cell Carcinoma Patients Undergoing Free Flap Reconstruction

2021 ◽  
Vol 8 ◽  
Author(s):  
Aimin Feng ◽  
Jiaqiang Zhang ◽  
Xihua Lu ◽  
Qigen Fang
Keyword(s):  
Squamous Cell Carcinoma ◽  
Blood Transfusion ◽  
Oral Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Short And Long Term

Purpose: To analyze the short- and long-term effect of perioperative blood transfusion (PBT) in patients undergoing surgical treatment for oral squamous cell carcinoma (SCC).Methods: Patients undergoing free flap reconstruction were retrospectively enrolled and divided into two groups based on the implementation of PBT. Flap revision, surgical site infection (SSI), flap failure, overall survival (OS), and disease-specific survival (DSS) were compared between the two groups.Results: In 170 patients with PBT, 10 (5.9%) flaps required exploration revision, SSI occurred in 18 (10.6%) patients, and flap necrosis was noted in 6 (3.5%) patients. These rates were comparable to those in patients without PBT. The two groups had similar DSS rates, but the 5-year OS rates were 49 and 59% in patients with PBT and without PBT, respectively. This difference was significant. Patients with 4 units of PBT had OS rates comparable to those of patients with >4 units of PBT. A Cox model confirmed the fact that the decrease in OS was independent of PBT.Conclusion: In patients with free flap reconstruction for oral SCC, PBT did not increase the short-term complication rate or cancer-linked mortality. However, it was related to an elevated overall risk of death.

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