Free Flap Outcomes of Microvascular Reconstruction after Repeated Segmental Mandibulectomy in Head and Neck Cancer Patients.
Research article published in Scientific reports (2019)
Abstract
This is the first study to investigate the impact of a second fibula flap or a soft tissue flap combined with bridging plate for a repeated segmental mandibulectomy reconstruction on flap outcomes in head and neck cancer patients. A retrospective comparative analysis (2007-2016) of 61 patients who underwent a second segmental mandibulectomy was performed. 20 patients underwent a fibula flap reconstruction whereas 41 had a soft tissue flap and plate reconstruction. No significant difference was seen in the operative time, total hospital stay, flap loss, re-exploration rates, plate exposure rate, or recipient site infection rate. On multivariate analysis, patients reconstructed with a soft tissue flap and bridging plate (odds ratio (OR) 3.997; 95% confidence interval (CI), 1.046-15.280, p = 0.043) and complications developed in previous surgery (OR 4.792; 95% CI, 1.120-20.493, p = 0.035) were shown to be independent predictors of a prolonged nasogastric tube dependence. The utilization of a soft tissue flap with plate is associated with comparative results of acute complication rate within 1 week, recipient site infection rate, and plate exposure rate to free fibula flaps alone. Free fibula flaps may result in a decreased risk for prolonged tube dependence compared to free soft tissue flap reconstructions.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
This is the first study to investigate the impact of a second fibula flap or a soft tissue flap combined with bridging plate for a repeated segmental mandibulectomy reconstruction on flap outcomes in head and neck cancer patients. A retrospective comparative analysis (2007-2016) of 61 patients who...
Por qué esto importa para la hirudoterapia
Este estudio comparativo analizó los desenlaces en 61 pacientes con cáncer de cabeza y cuello sometidos a mandibulectomía segmentaria repetida, comparando la reconstrucción con un segundo colgajo libre de peroné frente a un colgajo de tejido blando con placa puente. El estudio no encontró diferencias significativas en el tiempo quirúrgico, la estancia hospitalaria, la pérdida del colgajo, la reexploración, la exposición de la placa o las tasas de infección, aunque la reconstrucción con colgajo de tejido blando se asoció con mayores probabilidades de dependencia prolongada de sonda nasogástrica. El resumen reporta desenlaces y complicaciones quirúrgicos. No contiene ninguna mención de sanguijuelas, hirudoterapia, congestión venosa o técnicas de salvamento de colgajos. Cualquier relevancia para la hirudoterapia es puramente indirecta.
Citación
Free Flap Outcomes of Microvascular Reconstruction after Repeated Segmental Mandibulectomy in Head and Neck Cancer Patients.
Lin et al. · Scientific reports, 2019
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Añadido a la biblioteca ASH: May 28, 2026 · Última actualización del sitio: 18 de junio de 2026