2008
DOI: 10.1002/hed.20927
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Analysis of 49 cases of flap compromise in 1310 free flaps for head and neck reconstruction

Abstract: Background. The purpose of this study was to analyze the causes of flap compromise and failure in head and neck free flap reconstruction.Methods. We retrospectively reviewed 1310 free flap reconstructions for head and neck defects performed between July 1995 and June 2006.Results. Forty-nine cases of flap compromise due to vascular obstruction (3.7%) were identified, and 27 flaps were lost (2%). Arterial occlusions occurred in 12 flaps, with a salvage rate of 33%. Eight flaps failed within the first 24 hours, … Show more

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Cited by 199 publications
(176 citation statements)
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“…8,9 In Yu et al's report, flap compromise and failure rates were highest for orbitomaxillary and double free flap reconstructions, but the type of defect was not a significant predictor of flap compromise or failure. 9 The flap compromise rate was highest for palate (14.3%) reconstructions in their study, but there were no statistical differences in different reconstructive sites. The present authors also found that oropharynx reconstruction had a significantly higher rate (9.1%) of flap failure than other site reconstructions (P = 0.021).…”
Section: Discussionmentioning
confidence: 94%
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“…8,9 In Yu et al's report, flap compromise and failure rates were highest for orbitomaxillary and double free flap reconstructions, but the type of defect was not a significant predictor of flap compromise or failure. 9 The flap compromise rate was highest for palate (14.3%) reconstructions in their study, but there were no statistical differences in different reconstructive sites. The present authors also found that oropharynx reconstruction had a significantly higher rate (9.1%) of flap failure than other site reconstructions (P = 0.021).…”
Section: Discussionmentioning
confidence: 94%
“…As Yu et al pointed out, postoperative arterial thrombosis is often associated with intraoperative arterial thrombosis due to technical difficulties such as artery size mismatch, calcified vessels, and technical mistakes. 9 As Brown et al report, 4 it is the authors' current practice to observe arterial and venous flow directly, usually 30-40 min after the completion of the anastomosis. If the flow is not impeded it is likely that the artery will function well as long as the site of the anastomosis and the orientation of the pedicle have been well planned.…”
Section: Discussionmentioning
confidence: 96%
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