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

Plastic and Reconstructive Surgery
C M MalataS P Kay

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 f...Continue Reading

References

Nov 23, 1979·JAMA : the Journal of the American Medical Association·J L Djokovic, J Hedley-Whyte
Apr 1, 1978·Plastic and Reconstructive Surgery·L H MoselyM Goody
Mar 1, 1992·Plastic and Reconstructive Surgery·W F ReusD J Straker
Aug 1, 1991·Plastic and Reconstructive Surgery·K C Shestak, N F Jones
Oct 12, 1991·BMJ : British Medical Journal·H T Davenport
Jan 1, 1989·Microsurgery·G E Peters, J C Grotting
Sep 1, 1989·Archives of Otolaryngology--head & Neck Surgery·B L Wenig, A J Keller
Jul 1, 1989·British Journal of Plastic Surgery·N J PercivalM J Earley
Mar 1, 1989·American Journal of Otolaryngology·S ArenaE Y Hill
Jan 1, 1988·British Journal of Plastic Surgery·T Harashina
Jun 1, 1986·Mayo Clinic Proceedings·J Fisher
Jul 1, 1986·Plastic and Reconstructive Surgery·D S Soutar, I A McGregor
Mar 1, 1986·Head & Neck Surgery·D S Soutar, W P Widdowson
Jan 1, 1987·Annals of Plastic Surgery·G B IronsE H Schmitt
Jul 1, 1985·Annals of Plastic Surgery·K Kobus, J Stepniewski
Sep 1, 1985·British Journal of Anaesthesia·D J Macdonald
Apr 1, 1984·Plastic and Reconstructive Surgery·R W Dabb, R M Davis
Jan 1, 1983·British Journal of Plastic Surgery·D S SoutarI A McGregor
Apr 1, 1982·The Australian and New Zealand Journal of Surgery·J A TrottR M Edwards
Jan 1, 1982·British Journal of Plastic Surgery·D M Davies

❮ Previous
Next ❯

Citations

May 10, 2002·Head & Neck·Kiyotaka UchiyamaKiyonori Harii
Jul 14, 2005·Microsurgery·Omer OzkanM Bahadir Dikici
Sep 30, 2006·Clinical Oral Investigations·Philipp PohlenzMax Heiland
Jun 7, 2003·British Journal of Plastic Surgery·S D StavrianosJ V Soames
Jan 1, 1997·British Journal of Plastic Surgery·C M MalataT A Piggot
Feb 9, 1999·Plastic and Reconstructive Surgery·B SinghJ P Shah
Feb 2, 2000·Plastic and Reconstructive Surgery·P Chaivanichsiri
Jul 7, 2000·Plastic and Reconstructive Surgery·J M SerlettiG S Orlando
Nov 26, 2009·Plastic and Reconstructive Surgery·Jesse C SelberJoseph M Serletti
Mar 3, 2011·Plastic and Reconstructive Surgery·Katrin SeidenstueckerChristoph Andree
May 28, 2011·Plastic and Reconstructive Surgery·Esteban MarténJames E Zins
Oct 7, 2010·Head & Neck Oncology·Astrid L KruseKlaus W Grätz
Mar 8, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·H J KleinJ A Plock
Aug 14, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·S FerrariE Sesenna
Feb 14, 2012·Clinics in Geriatric Medicine·Andrew P ZbarRiccardo A Audisio
Jul 10, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M D Gardiner, J Nanchahal
Dec 15, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alireza GhassemiLloyd Nanhekhan
Dec 23, 2008·Cancer Treatment Reviews·Kostas N SyrigosKevin J Harrington
Feb 6, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Reto WettsteinYves Harder
Dec 7, 2007·Annales de chirurgie plastique et esthétique·P PerrotF Duteille
Dec 21, 2004·Critical Reviews in Oncology/hematology·Daniele BernardiEmanuela Vaccher
Apr 9, 2005·Clinics in Plastic Surgery·Ramazi O DatiashviliMichael Schulder
Jul 17, 2012·Revista brasileira de anestesiologia·Cláudia Margarida Brito PereiraJosé Pedro Assunção
Nov 19, 2013·Cancer Treatment Reviews·Evangelos G SarrisKonstantinos N Syrigos
Jan 18, 2011·European Annals of Otorhinolaryngology, Head and Neck Diseases·E E M NaoA Bozec
Dec 30, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Zhen-Hu RenSheng Zhang
Apr 30, 2016·Journal of Plastic Surgery and Hand Surgery·Stina KlassonPatrik Velander
Aug 9, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·K E Hamnett, A Subramanian
Sep 15, 2007·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Philipp PohlenzLei Li
Oct 5, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kun HwangHun Kim
Mar 21, 2017·Microsurgery·Galip Gencay ÜstünOzan Bitik
May 26, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M Haj BasheerK Herbert
Apr 17, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Keith E BlackwellJeffrey D Rawnsley
Jun 5, 2003·Annals of Plastic Surgery·John A GirottoMaurice Y Nahabedian
Jun 17, 2003·Head & Neck·Eamon S BeausangPeter C Neligan
Sep 24, 2004·Annals of Plastic Surgery·Charles E DumontErich J Lingenfelter
Mar 17, 2011·Annals of Plastic Surgery·Eric I ChangChristopher A Crisera
Apr 28, 2006·Annals of Plastic Surgery·Dale A Classen, Heather Ward
Jul 25, 2006·Annals of Plastic Surgery·Charles M MalataDavid A Moffat
Feb 26, 2005·Plastic and Reconstructive Surgery·O Koray CoskunfiratYueh-bih Tang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Plastic and Reconstructive Surgery
Joseph M SerlettiG S Orlando
Archives of Otolaryngology--head & Neck Surgery
C M ShaariM L Urken
Plastic and Reconstructive Surgery
L R ChickM Sasmor
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Keith E BlackwellJeffrey D Rawnsley
© 2021 Meta ULC. All rights reserved