Salvage of failed free flaps used in head and neck reconstruction

被引：147
|
作者：
Novakovic, Daniel [1 ,2 ]
Patel, Rajan S. [3 ]
Goldstein, David P. [1 ,2 ]
Gullane, Patrick J. [1 ,2 ]
机构：
[1] Princess Margaret Hosp, Dept Otolaryngol Head & Neck Surg, Toronto, ON M4X 1K9, Canada
[2] Univ Toronto, Toronto, ON, Canada
[3] Univ Auckland, Auckland City Hosp, Dept Otolaryngol Head & Neck Surg, Auckland 1, New Zealand
来源：
HEAD & NECK ONCOLOGY | 2009年 / 1卷
关键词：
FREE-TISSUE TRANSFER; INTERNAL JUGULAR-VEIN; SIDE ANASTOMOSIS; DOPPLER PROBE; COMPLICATIONS; THROMBOSIS; TRANSFERS; SURGERY; END; EXPERIENCE;
D O I：
10.1186/1758-3284-1-33
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Free flap success rates are in excess of 95%. Vascular occlusion (thrombosis) remains the primary reason for flap loss, with venous thrombosis being more common than arterial occlusion. The majority of flap failures occur within the first 48 hours. With early recognition and intervention of flap compromise salvage is possible. Successful salvage rates range from 28% to over 90%. Rapid re-exploration in this clinical setting is crucial to maximise the chances of flap salvage. If salvage is not feasible or unsuccessful then non-surgical methods of salvage may be employed with some possibility of success. The purpose of this article is to review the causes of free flap failure and to highlight the available options for salvage.
引用
收藏
页数：5
相关论文
共 50 条
  • [21] Imaging of Surgical Free Flaps in Head and Neck Reconstruction
    McCarty, J. L.
    Corey, A. S.
    El-Deiry, M. W.
    Baddour, H. M.
    Cavazuti, B. M.
    Hudgins, P. A.
    AMERICAN JOURNAL OF NEURORADIOLOGY, 2019, 40 (01) : 5 - 13
  • [22] The outcome of failed free flaps in head and neck and extremity reconstruction: What is next in the reconstructive ladder? Discussion
    Neligan, PC
    PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (05) : 1161 - 1162
  • [23] MYOCUTANEOUS PECTORALIS FLAPS VERSUS REVASCULARIZED FREE FLAPS IN HEAD AND NECK RECONSTRUCTION
    ZUKER, RM
    CANADIAN JOURNAL OF SURGERY, 1980, 23 (05) : 414 - 414
  • [24] The Role of Muscle Flaps for Salvage of Failed Perforator Free Flaps
    Hallock, Geoffrey G.
    PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2015, 3 (11)
  • [25] The folded double paddled free flaps for head and neck reconstruction
    Cerkes, N
    Aydin, A
    Topalan, M
    Erer, M
    PROCEEDINGS OF THE INAUGURAL CONGRESS OF THE WORLD SOCIETY FOR RECONSTRUCTIVE MICROSURGERY, 2001, : 123 - 124
  • [26] Customized Soft Tissue Free Flaps in Head and Neck Reconstruction
    Heredero, Susana
    Falguera, Maria Isabel
    Gomez, Vicenc
    Sanjuan-Sanjuan, Alba
    ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2024, 36 (04) : 545 - 555
  • [27] INDICATIONS OF VARIOUS FREE AND PEDICLED FLAPS IN HEAD AND NECK RECONSTRUCTION
    PLINKERT, PK
    BOOTZ, F
    ZENNER, HP
    LARYNGO-RHINO-OTOLOGIE, 1993, 72 (11) : 537 - 544
  • [28] Pedicled and free flaps for reconstruction in the head-neck region
    Bootz, F
    Keiner, S
    HNO, 2005, 53 (04) : 316 - 324
  • [29] REINNERVATED RADIAL FOREARM FREE FLAPS IN HEAD AND NECK RECONSTRUCTION
    DUBNER, S
    HELLER, KS
    JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1992, 8 (06) : 467 - 468
  • [30] INDICATIONS AND OUTCOMES OF DOUBLE FREE FLAPS IN HEAD AND NECK RECONSTRUCTION
    Andrades, Patricio
    Bohannon, Isaac A.
    Baranano, Chris F.
    Wax, Mark K.
    Rosenthal, Eben
    MICROSURGERY, 2009, 29 (03) : 171 - 177
12345