scholarly journals Head and Neck Tumor Resection and Free Flap Reconstruction in Low-Volume Center

2020 ◽  
pp. 014556132092383
Author(s):  
Malia Brennan ◽  
Shelley Wong ◽  
Paul D. Faringer ◽  
Jae H. Lim
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Medical Center ◽  
Free Tissue Transfer ◽  
Head And Neck Tumor ◽  
Flap Surgery ◽  
Tissue Transfer ◽  
Low Volume

Objective: To determine the surgical outcomes of free tissue transfer surgery following head and neck tumor extirpation in a low-volume medical center. Methods: Retrospective chart review of patients who underwent free tissue transfer surgery for head and neck cancer at Moanalua Medical Center from 2015 to 2018. Main Outcome of Measure: Free flap failure rate and free flap-related complications. Results: From 2015 to 2018, there were 27 free tissue transfer surgery (mean 6.75 flap surgery/year). There were 2 events of partial flap necrosis, and no cases of total flap loss. One patient required leech therapy for venous congestion. One patient required additional free flap surgery. Two patients developed orocutaneous fistula that resolved with local wound care. One patient developed malocclusion following mandible reconstruction using fibular free flap. Overall free flap success rate was 96%. Conclusion: This study supports the ability of small-volume centers to produce positive outcomes with few complications in head and neck cancer free flap reconstructive surgery. While the data are limited to a single surgical team in one care center, it provides additional support for the idea that there are factors beyond the surgical volume that determine outcome.

Optimizing value in head and neck cancer free flap surgery

2019 ◽  
Vol 27 (5) ◽  
pp. 413-419 ◽  
Author(s):  
Harrison Cash ◽  
Marianne Abouyared ◽  
Jeffrey J. Houlton
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Flap Surgery ◽  
Free Flap Surgery

Venous thrombosis after microvascular free-tissue transfer in head and neck cancer reconstruction

2008 ◽  
Vol 35 (3) ◽  
pp. 390-396 ◽  
Author(s):  
Tatsuya Fukuiwa ◽  
Kengo Nishimoto ◽  
Tamon Hayashi ◽  
Yuichi Kurono
Keyword(s):  
Head And Neck Cancer ◽  
Venous Thrombosis ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Tissue Transfer ◽  
Tissue Transfer

Postoperative morbidity in head and neck cancer ablative surgery followed by microsurgical free tissue transfer in the elderly

Oral Oncology ◽  
2012 ◽  
Vol 48 (9) ◽  
pp. 811-816 ◽  
Author(s):  
Chia-Hsuan Tsai ◽  
Kai-Ping Chang ◽  
Shao-Yu Hung ◽  
Wei F. Chen ◽  
Ming-Huei Cheng ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Postoperative Morbidity ◽  
Free Tissue Transfer ◽  
The Elderly ◽  
Tissue Transfer ◽  
Ablative Surgery

scholarly journals The Roles of Albumin Levels in Head and Neck Cancer Patients with Liver Cirrhosis Undergoing Tumor Ablation and Microsurgical Free Tissue Transfer

PLoS ONE ◽  
2012 ◽  
Vol 7 (12) ◽  
pp. e52678 ◽  
Author(s):  
Huang-Kai Kao ◽  
Wei F. Chen ◽  
Chih-Hao Chen ◽  
Victor Bong-Hang Shyu ◽  
Ming-Huei Cheng ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Free Tissue Transfer ◽  
Tumor Ablation ◽  
Tissue Transfer

scholarly journals Reconstructive considerations in head and neck surgical oncology: United Kingdom National Multidisciplinary Guidelines

2016 ◽  
Vol 130 (S2) ◽  
pp. S191-S197 ◽  
Author(s):  
M Ragbir ◽  
J S Brown ◽  
H Mehanna
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Pharyngocutaneous Fistula ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Tissue Transfer ◽  
First Choice ◽  
Ablative Surgery

AbstractThis is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The reconstructive needs following ablative surgery for head and neck cancer are unique and require close attention to both form and function. The vast experience accrued with microvascular reconstructive surgery has meant a significant expansion in the options available. This paper discusses the options for reconstruction available following ablative surgery for head and neck cancer and offers recommendations for reconstruction in the various settings.Recommendations• Microsurgical free flap reconstruction should be the primary reconstructive option for most defects of the head and neck that need tissue transfer. (R)• Free flaps should be offered as first choice of reconstruction for all patients needing circumferential pharyngoesophageal reconstruction. (R)• Free flap reconstruction should be offered for patients with class III or higher defects of the maxilla. (R)• Composite free tissue transfer should be offered as first choice to all patients needing mandibular reconstruction. (R)• Patients undergoing salvage total laryngectomy should be offered vascularised flap reconstruction to reduce pharyngocutaneous fistula rates. (R)

Irradiation and free tissue transfer in head and neck cancer

Head & Neck ◽  
1991 ◽  
Vol 13 (3) ◽  
pp. 213-216 ◽  
Author(s):  
Baby Jose ◽  
Joseph Banis ◽  
Michael Flynn ◽  
Robert Lindberg ◽  
William J. Spanos ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Tissue Transfer ◽  
Tissue Transfer
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