Free tissue transfer versus pedicled flap reconstruction of head and neck malignancy defects.

Hdl Handle:
http://hdl.handle.net/10147/207818
Title:
Free tissue transfer versus pedicled flap reconstruction of head and neck malignancy defects.
Authors:
O'Neill, J P; Shine, N; Eadie, P A; Beausang, E; Timon, C
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St James Hospital, Dublin,, Ireland. joneill@rcsi.ie
Citation:
Ir J Med Sci. 2010 Sep;179(3):337-43. Epub 2010 Feb 12.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207818
DOI:
10.1007/s11845-010-0468-4
PubMed ID:
20151334
Abstract:
BACKGROUND: With the advent of microsurgery the pedicled flap is considered by many to be an outdated surgical option. AIMS: To explore the relationship between flap survival and pre-morbid risk factors, conduct a comparative analysis of flap and systemic morbidities and complete a cosmesis and functionality assessment for oral and oropharyngeal reconstruction patients. METHODS: 114 patients, over a 13-year period, who had a one-stage reconstructive procedure employing the pectoralis major myocutaneous flap (PMMF) or radial forearm-free flap (RFFF). RESULTS: Variables, including age, smoking and radiation exposure were not statistically significant predictors of flap survival probability. Atelectasis was a significant post-op finding of RFFF patients. Flap dehiscence of >50% was a significant morbidity of PMMF. No statistical difference in cosmetic deformity, diet and socialisation was noted. CONCLUSIONS: Pectoralis major myocutaneous flap remains an enduring and safe flap; however, the RFFF has markedly improved speech performance over the PMMF.
Language:
eng
MeSH:
Adult; Aged; Carcinoma, Squamous Cell/*surgery; Female; *Free Tissue Flaps; Head and Neck Neoplasms/*surgery; Humans; Male; Middle Aged; Mouth Neoplasms/surgery; Oropharyngeal Neoplasms/surgery; Reconstructive Surgical Procedures/methods; *Surgical Flaps; Survival Analysis; Treatment Outcome
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Neill, J Pen_GB
dc.contributor.authorShine, Nen_GB
dc.contributor.authorEadie, P Aen_GB
dc.contributor.authorBeausang, Een_GB
dc.contributor.authorTimon, Cen_GB
dc.date.accessioned2012-02-01T10:45:35Z-
dc.date.available2012-02-01T10:45:35Z-
dc.date.issued2012-02-01T10:45:35Z-
dc.identifier.citationIr J Med Sci. 2010 Sep;179(3):337-43. Epub 2010 Feb 12.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid20151334en_GB
dc.identifier.doi10.1007/s11845-010-0468-4en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207818-
dc.description.abstractBACKGROUND: With the advent of microsurgery the pedicled flap is considered by many to be an outdated surgical option. AIMS: To explore the relationship between flap survival and pre-morbid risk factors, conduct a comparative analysis of flap and systemic morbidities and complete a cosmesis and functionality assessment for oral and oropharyngeal reconstruction patients. METHODS: 114 patients, over a 13-year period, who had a one-stage reconstructive procedure employing the pectoralis major myocutaneous flap (PMMF) or radial forearm-free flap (RFFF). RESULTS: Variables, including age, smoking and radiation exposure were not statistically significant predictors of flap survival probability. Atelectasis was a significant post-op finding of RFFF patients. Flap dehiscence of >50% was a significant morbidity of PMMF. No statistical difference in cosmetic deformity, diet and socialisation was noted. CONCLUSIONS: Pectoralis major myocutaneous flap remains an enduring and safe flap; however, the RFFF has markedly improved speech performance over the PMMF.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshCarcinoma, Squamous Cell/*surgeryen_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Free Tissue Flapsen_GB
dc.subject.meshHead and Neck Neoplasms/*surgeryen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshMouth Neoplasms/surgeryen_GB
dc.subject.meshOropharyngeal Neoplasms/surgeryen_GB
dc.subject.meshReconstructive Surgical Procedures/methodsen_GB
dc.subject.mesh*Surgical Flapsen_GB
dc.subject.meshSurvival Analysisen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titleFree tissue transfer versus pedicled flap reconstruction of head and neck malignancy defects.en_GB
dc.contributor.departmentDepartment of Otolaryngology, Head and Neck Surgery, St James Hospital, Dublin,, Ireland. joneill@rcsi.ieen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.