Microvascular free-tissue transfers in elderly patients: the leeds experience.

Abstract:

:Free-tissue transfer in the elderly has received increasing attention in the literature. Existing reports are limited by small samples or inadequate definition of the term elderly. This study reviewed 5 years' experience with free-tissue transfer in a geriatric population (mean age 75 years, range 70 to 83 years). Forty-nine free flaps were performed in 42 patients between 1986 and 1991. This review focuses on the 39 flaps undertaken in 33 head and neck cancer patients, the main indication being reconstruction after tumor resection (80 percent). In the head and neck cancer group, donor sites included the radial forearm (20), rectus abdominis (6), jejunum (5), and others (8). Thirty-four flaps (87 percent) were primarily successful. Reexploration was required in 10 patients (26 percent) for compromised flaps (5) and bleeding (5). Three of the compromised flaps were salvaged, giving an overall flap success rate of 95 percent. One patient (3 percent) died within 30 days of surgery. These results compare favorably with other published series in elderly patients, as well as with larger cohorts of younger subjects. Free flaps are safe in the elderly. Chronologic age alone should not be an exclusion criterion when selecting patients for free-tissue transfer.

journal_name

Plast Reconstr Surg

authors

Malata CM,Cooter RD,Batchelor AG,Simpson KH,Browning FS,Kay SP

doi

10.1097/00006534-199612000-00018

subject

Has Abstract

pub_date

1996-12-01 00:00:00

pages

1234-41

issue

7

eissn

0032-1052

issn

1529-4242

journal_volume

98

pub_type

临床试验,杂志文章
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    pub_type: 临床试验,杂志文章,随机对照试验

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