Clinical effect of head and neck reconstruction using microsurgical free flap transfer techniques
- VernacularTitle:头颈部组织缺损显微外科重建的临床效果
- Author:
Chi MAO
;
Guang-Yan YU
;
Xin PENG
;
Lei ZHANG
;
Chuan-Bin GUO
;
Min-Xian HUANG
- Publication Type:Journal Article
- Keywords:
Surgical flap;
Reconstruction;
Head and neck;
Microsurgery
- From:
Chinese Journal of Microsurgery
2000;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze our clinical results of head and neck reconstruction using microsur- gical free flap transfer techniques.Methods The free flap donor sites with long vascular pedicle and large diameter of vessel were routinely chosed,and chose receipt vessels with large diameter and proper position, and perform vessel ananstomosis under surgical loups instead of microscope.The un-buried free flap with a mo- nitoring window were harvest,and do double venous anastomoses in some flaps to ensure adequate venous out- flow.Results From May 1999 to March 2005,1066 consecutive free flap transfers were used to reconstruct head and neck defects.The overall success rate of free flap was 98.3%.The vessel thrombosis rate was 3.1%,and the flap salvage rate was 45.5%.Conclusion Head and neck reconstruetion using microsurgi- cal free flap transfer technique is safe and reliable,and good clinical results can be obtained.