Outcomes of Re-exploration Procedures After Head and Neck Free Flap Reconstruction.

Autor: Kudpaje, Akshay, Thankappan, Krishnakumar, Rajan, Rajisha Paruthappara, Vidhyadharan, Sivakumar, Balasubramanian, Deepak, Wakure, Abhijeet, Mathew, Jimmy, Sharma, Mohit, Iyer, Subramania
Zdroj: Indian Journal of Surgical Oncology; Sep2021, Vol. 12 Issue 3, p530-537, 8p
Abstrakt: This study was conducted to evaluate the outcomes of re-exploration procedures done after head and neck microvascular flap reconstructions. This is a retrospective review of 109 flaps in 106 patients (three patients had two flaps each) that underwent re-exploration procedures in 1001 consecutive free flap surgeries. The outcome was analysed in terms of the type of the flaps, re-exploration rate, flap salvage rate and overall flap success rate. Free radial forearm (RFF) was the commonest flap done (354, 35.3%). One hundred nine flaps underwent re-exploration procedures in 106 patients. Out of this, 79 flaps could be salvaged, and 30 flaps failed. There were also another ten flaps, which failed without any re-exploration. The overall re-exploration rate was 10.8%. The flap salvage rate was 72.4%. The overall flap success rate was 96.1%. Nearly three-fourths of the flaps with vascular compromise can be successfully salvaged with appropriate and timely intervention. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index