Microsurgical free flap reconstruction outcomes in head and neck cancer patients after surgical extirpation and intraoperative brachytherapy

The Laryngoscope
Douglas A RossClarence T Sasaki

Abstract

The management of recurrent or persistent head and neck cancer poses a challenging problem. Salvage surgery for these individuals consists of ablative surgery, interstitial brachytherapy, and microsurgical free flap reconstruction. This study reviews complications after such reconstruction. We reviewed 139 consecutive head and neck cancer patients undergoing free flap reconstruction from January 1994 to May 2002. These included 66 patients with recurrent head and neck cancer undergoing intraoperative brachytherapy (IOBT) and free flap reconstruction and 73 undergoing free flap reconstructions only. A total of 142 reconstructions were performed, with three patients in IOBT group receiving two free flap reconstructions per patient, giving us a total of 69 reconstructions in the IOBT group versus 73 in the non-IOBT group. Nine patients were excluded from the IOBT group because of nonsynchronous use of brachytherapy and reconstruction, and 10 patients were excluded from the other group because they had prior radiotherapy or surgical treatment, leaving us with a total of 123 reconstructions, 60 in the IOBT group and 63 in the non-IOBT group. The IOBT group patients received iodine Vicryl seed implants, palladium seed implants, or bo...Continue Reading

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Citations

Feb 21, 2009·Plastic and Reconstructive Surgery·Daniel A SchwarzSteven R Buchman
May 1, 2013·Plastic and Reconstructive Surgery·Alexis DonneysSteven R Buchman
May 9, 2014·Cancers·Yuan LinMaie St John
Dec 27, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Michael KochHeinrich Iro
Oct 23, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Małgorzata WierzbickaAlfio Ferlito
Mar 21, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Franziska SchiefkeBernhard Frerich
Mar 11, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Alberto PadernoPiero Nicolai
Mar 17, 2016·Journal of Plastic Surgery and Hand Surgery·Erik J GeigerDeepak Narayan
May 16, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yuan LinMaie A St John

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