Simplified head and neck reconstructive microsurgical techniques and their clinical applications

VernacularTitle:简化的头颈显微重建外科技术及其临床应用
Author: Chi MAO ; Xin PENG ; Lei ZHANG ; Yang WANG
Publication Type:Journal Article
Keywords: Surgical Flaps; Microsurgery; Reconstructive Surgical Procedures
From: Chinese Archives of Otolaryngology-Head and Neck Surgery 2016;23(3):127-130
CountryChina
Language:Chinese
Abstract: [ABSTRACT]OBJETIVETo analyze the reliability and safety of our simplified microsurgical techniques in head and neck reconstruction.METHODSA total of 3045 consecutive cases of free flap transferred in the head and neck region from May 1999 to May 2015 were reviewed. Data concerning the operation included the date of surgery, defect description and site, stage and histology of tumor, type of free flap, recipient vessel and complications.RESULTSOf the 3045 cases, 1856 were males, and 1189 were females. The age ranged from 5 to 86 years, with the average of 47.8 years. Among the 3045 cases, 2868 were tumor-related defects reconstructions, and 2653 were one stage reconstructions. The overall success rate of free flap was 98.5%. The vessel thrombosis rate was 2.9%, and the flap salvage rate was 48.9%.CONCLUSIONOur microsurgery technique greatly simplified traditional microsurgical technique. Head and neck reconstruction using this technique is very safe and reliable, and needs further clinical applications.