Evaluation of bone length and number of osteotomies utilizing the osteocutaneous radial forearm free flap for mandible reconstruction: An 8-year review of complications and flap survival.

Autor: Silverman DA; Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas., Przylecki WH; Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas., Arganbright JM; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Shnayder Y; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Kakarala K; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Nazir N; Department of Preventive Medicine and Public Health, Kansas City, Kansas., Tsue TT; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Girod DA; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Andrews BT; Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas.; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2016 Mar; Vol. 38 (3), pp. 434-8. Date of Electronic Publication: 2015 May 26.
DOI: 10.1002/hed.23919
Abstrakt: Background: The purpose of this study was to assess the impact of bone harvest length and multiple osteotomies on osteocutaneous radial forearm free flap (RFFF) complication rates.
Methods: A retrospective chart review was conducted for patients undergoing osteocutaneous RFFF reconstruction during an 8-year period.
Results: One hundred fifty-five osteocutaneous RFFF procedures were performed. Recipient-site flap complications were 18 of 55 (32.7%) when bone harvest length was less than 7 cm and 40 of 100 (40.0%) when it was ≥7 cm. No osteotomies were performed in 69 of 155 cases with a corresponding complication rate of 30.4% (21 of 69). One osteotomy was utilized in 69 of 155 flaps, whereas 17 of 155 required more than 1 osteotomy; complications were experienced in 42% (29 of 69) and 47% (8 of 17) of these cases, respectively.
Conclusion: Osteocutaneous RFFF complication rates were only slightly higher when the bone length was ≥7 cm or when multiple osteotomies were required.
(© 2015 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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