잠시만 기다려 주세요. 로딩중입니다.

Anterolateral thigh free flaps and radial forearm free flaps in head and neck reconstruction: A 20-year analysis from a single institution

Archives of Plastic Surgery 2021년 48권 1호 p.49 ~ 54
양사이먼, 홍종원, 윤인식, 유대현, 노태석, 이원재,
소속 상세정보
양사이먼 ( Yang Simon ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
홍종원 ( Hong Jong-Won ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
윤인식 ( Yoon In-Sik ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
유대현 ( Lew Dae-Hyun ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
노태석 ( Roh Tai-Suk ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
이원재 ( Lee Won-Jai ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery

Abstract


Background: Reconstruction after removal of a malignant tumor in the head and neck region is crucial for restoring tissue integrity, function, and aesthetics. We retrospectively analyzed patients who underwent intraoral reconstruction surgery using radial forearm free flaps (RFFF) and anterolateral thigh free flaps (ALT) at a single institution to provide more information supporting the choice of a reconstruction method after removal of head and neck cancer.

Methods: The charts of 708 patients who underwent head and neck reconstruction between 1998 and 2018 at the Department of Plastic and Reconstructive Surgery at our institution were retrospectively reviewed. Patients’ age, sex, and history of radiation therapy, diabetes mellitus, and smoking were retrieved. The primary cancer site, types of defects, and complications were investigated.

Results: Overall, 473 and 95 patients underwent reconstruction surgery with RFFF and ALT, respectively. RFFF was more often used in patients with cancers of the pharynx, larynx, esophagus, or tonsil, while ALT was more frequently used in patients with cancers of the mouth floor with tonsil or tongue involvement. The proportion of patients undergoing ALT increased gradually. Flap failure and donor site morbidities did not show significant differences between the two groups.

Conclusions: RFFF and ALT flaps resulted in similar outcomes in terms of flap survival and donor site morbidity. ALT can be an option for head and neck reconstruction surgery in patients with large and complex defects or for young patients who want to hide their donor site scars.

키워드

Reconstructive surgical procedures; Head and neck neoplasm; Surgical flaps

원문 및 링크아웃 정보

등재저널 정보