Flow-Through Flaps as a Robust Method for Advanced Free Flap Reconstruction in the Head and Neck: A Multi-Institutional Experience.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-06 DOI:10.1002/hed.28061

Eric V Mastrolonardo, Sarah Sussman, Pablo Llerena, Dev R Amin, Kathryn Nunes, Kelly Bridgham, Emma De Ravin, Daniel J Campbell, Aarti Agarwal, Ramez Philips, Fahad Rind, Ryan Ivancic, Wesley McIlwain, Stephen Y Kang, Yadranko Ducic, Larissa Sweeny, Mauricio A Moreno, René P Meyers, Carissa M Thomas, Karthik Rajasekaran, Mark Wax, Joseph M Curry, Matthew M Hanasono

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Abstract

Background: Flow-through flaps (FTFs) are an advanced technique in which a free flap is anastomosed to the pedicle of another free flap to reconstruct extensive head and neck defects when recipient vessels are scarce.

Methods: A multi-institutional cohort of FTFs used for head and neck reconstruction were reviewed. For comparison, FTF outcomes were compared to free flaps that required vein grafts (VG) to reach distant recipient vessels.

Results: A total of forty-two patients underwent surgery using a FTF configuration, including 32 simultaneous and 10 sequential FTFs. There were no instances of flap failure compared to a 7% flap failure rate in the VG group (n = 54). The overall postoperative complication rate was 28% compared to a 46% complication rate in the VG group (p = 0.093).

Conclusion: FTFs are a reliable option for reconstruction of extensive head and neck defects when recipient blood vessel availability is limited.

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流动皮瓣作为头颈部高级自由皮瓣重建的可靠方法：多机构经验。

背景：血流皮瓣（FTFs）是一种先进的技术，当受体血管稀缺时，将自由皮瓣与另一个自由皮瓣的蒂吻合以重建广泛的头颈部缺损。方法：回顾了多机构的FTFs用于头颈部重建的队列。为了进行比较，将FTF的结果与需要静脉移植物（VG）到达远端受体血管的自由皮瓣进行比较。结果：共有42例患者接受了FTF配置的手术，包括32例同时FTF和10例顺序FTF。与VG组7%的皮瓣失败率（n = 54）相比，没有皮瓣失败的实例。总的术后并发症发生率为28%，VG组为46% （p = 0.093）。结论：当受体血管可用性有限时，FTFs是广泛头颈部缺损重建的可靠选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.

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