The Triangle of Unfavorable Outcomes After Microsurgical Head and Neck Reconstruction Planning, Design, and Execution

被引:6
|
作者
Wei, Fu-Chan [1 ]
Deek, Nidal Farhan A. L. [1 ]
Cheng, Ming-Huei [1 ]
Lin, Chih-Hung [1 ]
机构
[1] Chang Gung Univ, Chang Gung Med Coll, Chang Gung Mem Hosp, Dept Plast & Reconstruct Surg, 199 Tun Hwa North Rd, Taipei 10591, Taiwan
关键词
Head and neck reconstruction; Microsurgical reconstruction; Quality of life; Unfavorable results; Failure; FIBULA OSTEOSEPTOCUTANEOUS FLAP; ANTEROLATERAL THIGH FLAPS; SQUAMOUS-CELL CARCINOMA; SOFT-TISSUE FLAP; MANDIBULAR DEFECTS; EXPERIENCE; NOMENCLATURE; COMPOSITE; IMPACT;
D O I
10.1016/j.cps.2016.06.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
Analysis of unfavorable results in microsurgical head and neck reconstruction beyond free flap survival is the goal of this article. Unfavorable outcome is the result of poor or inadequate planning, design, and execution. A triangular relationship between the 3 corners of a microsurgical reconstruction plan, design, and execution is suggested to govern the unfavorable outcome after a surviving free flap. This article shares the authors' philosophy and strategies to avoid untoward outcomes. Case studies and the authors' surgery dynamics are provided to simplify the message.
引用
收藏
页码:615 / +
页数:7
相关论文
共 50 条
  • [41] Management of flaps with compromised venous outflow in head and neck microsurgical reconstruction
    Kubo, T
    Yano, K
    Hosokawa, K
    MICROSURGERY, 2002, 22 (08) : 391 - 395
  • [42] EVALUATION AND TREATMENT OF CERVICAL FISTULAE AFTER MICROSURGICAL RECONSTRUCTION FOLLOWING RADICAL ABLATION OF HEAD AND NECK CANCERS
    Fujioka, Masaki
    Oka, Kiyoshi
    Kitamura, Riko
    Yakabe, Aya
    WOUND REPAIR AND REGENERATION, 2009, 17 (02) : A37 - A37
  • [43] Immediate Microsurgical Reconstruction After Tumor Ablation Predicts Survival Among Patients with Head and Neck Carcinoma
    Thomas Mücke
    Klaus-Dietrich Wolff
    Stefan Wagenpfeil
    David A. Mitchell
    Frank Hölzle
    Annals of Surgical Oncology, 2010, 17 : 287 - 295
  • [44] Immediate Microsurgical Reconstruction After Tumor Ablation Predicts Survival Among Patients with Head and Neck Carcinoma
    Muecke, Thomas
    Wolff, Klaus-Dietrich
    Wagenpfeil, Stefan
    Mitchell, David A.
    Hoelze, Frank
    ANNALS OF SURGICAL ONCOLOGY, 2010, 17 (01) : 287 - 295
  • [45] BEHAVIOR OF ANASTOMOZED VESSELS AND TRANSFERRED FLAPS AFTER ANASTOMOSED SITE INFECTION IN HEAD AND NECK MICROSURGICAL RECONSTRUCTION
    Kubo, Tateki
    Matsuda, Ken
    Kiya, Koichiro
    Hosokawa, Ko
    MICROSURGERY, 2016, 36 (08) : 658 - 663
  • [46] Microsurgical reconstruction of the head and neck: Interdisciplinary collaboration between head and neck surgeons and plastic surgeons in 305 cases
    Jones, NF
    Johnson, JT
    Shestak, KC
    Myers, EN
    Swartz, WM
    ANNALS OF PLASTIC SURGERY, 1996, 36 (01) : 37 - 43
  • [47] Postoperative medical complications - Not microsurgical complications - Negatively influence the morbidity, mortality, and true costs after microsurgical reconstruction for head and neck cancer
    Jones, Neil F.
    Jarrahy, Reza
    Song, J. I.
    Kaufman, Matthew R.
    Markowitz, Bernard
    PLASTIC AND RECONSTRUCTIVE SURGERY, 2007, 119 (07) : 2053 - 2060
  • [48] Complications after microsurgical tissue transfer in the head and neck region
    Hoffmann, J
    Ehrenfeld, M
    Hwang, S
    Schwenzer, N
    JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 1998, 26 (04) : 255 - 259
  • [49] Discharge Disposition After Head and Neck Reconstruction: Effect on Adjuvant Therapy and Outcomes
    Dang, Sophia
    Patel, Terral
    Lao, Isabella
    Sridharan, Shaum S.
    Solari, Mario G.
    Kim, Seungwon
    Duvvuri, Umamaheswar
    Ferris, Robert
    Kubik, Mark
    LARYNGOSCOPE, 2023, 133 (11): : 2977 - 2983
  • [50] RECONSTRUCTION OF THE NECK AFTER BURN INJURY USING MICROSURGICAL TECHNIQUES
    TIZIAN, CH
    BERGER, A
    KUNERT, P
    WANNSKE, M
    LANGENBECKS ARCHIV FUR CHIRURGIE, 1984, 364 : 468 - 469