Risk factors for wound complications in head and neck reconstruction: 773 free jejunal reconstruction procedures after total pharyngolaryngoesophagectomy

Head & Neck ◽  
2017 ◽  
Vol 39 (10) ◽  
pp. 2057-2069 ◽  
Author(s):  
Narushi Sugiyama ◽  
Soshi Takao ◽  
Etsuji Suzuki ◽  
Yoshihiro Kimata
Keyword(s):  
Risk Factors ◽  
Head And Neck ◽  
Wound Complications ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction

Analysis of risk factors for flap loss and salvage in free flap head and neck reconstruction

Head & Neck ◽  
2015 ◽  
Vol 38 (S1) ◽  
pp. E771-E775 ◽  
Author(s):  
Edward I. Chang ◽  
Hong Zhang ◽  
Jun Liu ◽  
Peirong Yu ◽  
Roman J. Skoracki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Head And Neck ◽  
Free Flap ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Flap Loss

scholarly journals Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting

2019 ◽  
Vol 12 (3) ◽  
pp. 183-192 ◽  
Author(s):  
Pieter-Jan Verhelst ◽  
Flore Dons ◽  
Pieter-Jan Van Bever ◽  
Joseph Schoenaers ◽  
Lloyd Nanhekhan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Head And Neck ◽  
Free Flap ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Flap Failure ◽  
Fibula Free Flap ◽  
Tertiary Center ◽  
Low Volume

The fibula free flap (FFF) has been a workhorse in maxillofacial reconstruction. High success rates of this technique are reported. However, identifying risk factors for flap failure and analyzing complications can open the way to better patient care. A retrospective analysis was conducted of all FFFs performed over a 20-year period at a low-volume single tertiary center to identify risk factors and postoperative complications. A total of 129 FFFs were included (122 mandible, 7 maxilla). Complete flap failure occurred in 12.4% and partial flap failure in 7.8% of patients. A significant relation was found between younger age and flap failure, and most failures were associated with venous thrombosis. In-hospital surgical complications occurred in 60.5%, in-hospital medical complications in 49.6%, and out-of-hospital complications in 77.5% of patients. The in-hospital reintervention rate was 27.1%, and including salvaged flaps, flap survival rate was 87.6%. Osteomyocutaneous FFF failure (complete 12.4%; partial 7.8%) is an important clinical reality in a low-volume head and neck reconstruction center resulting in an in-hospital reintervention rate of 27.1%. Postoperative complications are frequent, both surgical and out-hospital complications. These results provide a better understanding of the limitations of the FFF in a low-volume center and can be used to optimize care in this kind of setting.

Serum Cotinine Concentration and Wound Complications in Head and Neck Reconstruction

2008 ◽  
Vol 121 (2) ◽  
pp. 451-457 ◽  
Author(s):  
Vincent P. Marin ◽  
Kristen B. Pytynia ◽  
Howard N. Langstein ◽  
Kristina R. Dahlstrom ◽  
Qingyi Wei ◽  
...  
Keyword(s):  
Head And Neck ◽  
Wound Complications ◽  
Head And Neck Reconstruction ◽  
Serum Cotinine ◽  
Neck Reconstruction ◽  
Cotinine Concentration

Head and Neck Reconstruction with Perforator Flaps

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
G. Pons ◽  
J. Masia ◽  
J. Sancho ◽  
J. Larrañaga ◽  
P. Serret
Keyword(s):  
Head And Neck ◽  
Head And Neck Reconstruction ◽  
Perforator Flaps ◽  
Neck Reconstruction

scholarly journals Sinking skin flap syndrome in head and neck reconstruction: A case report

2021 ◽  
pp. 100330
Author(s):  
Alyssa Ovaitt ◽  
Matthew Fort ◽  
Kirk Withrow ◽  
Brian Hughley
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Skin Flap ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction
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