Publication details
Volné laloky v rekonstrukci rozsáhlých defektů po onkochirurgických výkonech v oblasti hlavy a krku
| Title in English | Free Flaps in Reconstruction of Extensive Defects after Oncological Head and Neck Surgery |
|---|---|
| Authors | |
| Year of publication | 2014 |
| Type | Article in Periodical |
| Magazine / Source | Otorinolaryngologie a foniatrie |
| MU Faculty or unit | |
| Citation | |
| Field | ORL, ophthalmology, stomatology |
| Keywords | free flap; head neck cancer; microsurgery; plastics; reconstruction |
| Description | The following study presents a retrospective analysis of microvascular free flap closure of postoperative defects at ENT clinic of St. Anne’s hospital in Brno in years 2002-2011. 87 free flaps were transferred with success rate 97.7%; only one flap underwent a total necrosis. The most frequent were free musculocutaneous flaps from m. latissimus dorsi – 43 and fasciocutaneous forearm Chinese flaps – 34. Postoperative defect closures (after previous maxillectomy -29 and glossectomy -18) for advanced tumors T3+T4 (94%) were predominating. The oncologic success rate can be considered as relatively high (5-year DSS 53%); local recurrence underneath the flap was confirmed in 23(26%) cases. |