Whether free anterolateral thigh flaps are suitable for the elderly patients with oral cancer
10.3760/cma.j.issn.1002-0098.2015.10.008
- VernacularTitle:游离股前外侧皮瓣用于口腔癌老年患者的探讨
- Author:
Zhenhu REN
1
;
Hanjiang WU
;
Hongyu TAN
;
Kai WANG
;
Zhaojian GONG
;
Sheng ZHANG
Author Information
1. 上海交通大学医学院附属第九人民医院口腔医学院口腔颌面-头颈肿瘤科
- Keywords:
Surgical flaps;
Mouth neoplasms;
Reconstructive surgical procedures;
Anterolateral thigh flap
- From:
Chinese Journal of Stomatology
2015;50(10):607-610
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the factors that were predictive of outcome and to determine the effect of age on perioperative complications.Methods Reviewed the records of 1 100 consecutive patients who underwent anterolateral thigh flap free flap transfers for oral and maxillofacial cancer surgery defects between February 2002 and March 2013.All patients were divided into two groups:A group (＜60 years old) and B group (≥60 years old).Postoperative complications were analyzed from all patients.Results There were 781 cases in A group and 319 in B group.The overall success rate was 97.2％(1 100/l 132)[97.3％ (781/803) in A group,97.0％ (319/329) in B group,P＞0.05].The overall complication rate was 27.5％ (302/1 100)[25.9％ (202/781) in A group,31.3％ (100/319) in B group,P=0.064].Multivariate Cox regression analyses revealed that American Society of Anesthesiologists (ASA) status (P＜0.001),operation time (P=0.021) and comorbidity (P=0.002) were the independent factor for the complication of patients.However,age (P＞0.05) was not an independent factor for the complication of patients.Conclusions Oral and maxillofacial reconstruction using anterolateral thigh flap free flaps in elderly patients can achieve similar outcomes as in younger patients.Controlling operative time is very important in reducing postoperative complications and improving the results of surgery.
