Reconstruction of advance head and neck cancer patients after tumor ablation with simultaneous multiple free flaps: indications and prognosis.

Abstract:

:Simultaneous multiple free flaps have become a useful option in head and neck reconstructions. We performed a 10-year retrospective study between 2001 and 2010. There were 58 men and 1 woman. The overall mortality rate was 51.7%. The longest surviving patient is 9 years and 4 months, whereas the shortest surviving patient was 72 days. The mean survival period was 47.1 (6.8) months. Age (P = 0.755) and tumor size (P = 0.115) did not play a major role, but surgical margin, lymph node, and tumor recurrence were significant in patient survival with a P value of 0.026, 0.01, and 0.026, respectively. If wide excision with a margin that can be free of tumor can be performed, lymph nodes are not involved, and this is a primary tumor, then time and effort should be spent in a successful simultaneous multiple free flap reconstruction.

journal_name

Ann Plast Surg

authors

Chien SH,Hsu H,Huang CC,Lee CY,Chiu CH,Lin CM

doi

10.1097/SAP.0b013e318274a49f

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

611-5

issue

6

eissn

0148-7043

issn

1536-3708

pii

00000637-201212000-00006

journal_volume

69

pub_type

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