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首页> 外文会议>Societaà Italiana Chirurgia Maxillo-Facciale >Factors affecting survival in head and neck reconstruction with free flaps in oncologic patients: a single surgeon's experience
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Factors affecting survival in head and neck reconstruction with free flaps in oncologic patients: a single surgeon's experience

机译：影响头颈重建生存的因素与肿瘤患者的自由襟翼：单一外科医生的经验

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Free tissue transfer has become the standard of care for reconstruction of head and neck complex defects, with success rates ranging to 91 to 99 percent. There are significant factors associated with the development of complications following free tissue transfer. The aims of this retrospective study is to evaluate relantionships between free flaps failure and pre- and intraoperative risk factors in oncologic patients in which surgery was performed by a single expert surgeon. We analyze a series of 91 consecutive free flap reconstruction performed from January 2002 to November 2008 at our Department identified variables influencing reconstructive complications. Success rate was 94.4% (6/91 free flaps were lost). All studied factors were similarly related to flap loss (complications rate of 9-10%); only in patients who previously received radiotherapy a complication rate of 12% was observed. Neverthless, microvascular surgery is a highly successful and relatively safe method for the reconstruction of large head and neck defects also in irradiated patients.
机译：自由组织转移已成为重建头部和颈部复杂缺陷的护理标准，成功率为91％至99％。在自由组织转移后，存在与并发症的发生相关的重要因素。该回顾性研究的目的是评估单一专家外科医生手术的疾病患者的自由襟翼衰竭和初学患者的预脑内危险因素之间的关系。我们分析了2002年1月至2008年11月在我们的部门鉴定了影响重建并发症的变量进行的91个连续自由襟重建。成功率为94.4％（6/91免费襟翼丢失）。所有研究的因素与皮瓣损失相似相关（并发症率为9-10％）;只有在先前接受放射治疗的患者中，观察到并发症率为12％。不管怎样，微血管外科是一种高度成功的和相对安全的方法，可以在照射患者中重建大头和颈部缺陷。

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