Free flap reconstruction of the head and neck region: a series of 127 flaps performed by otolaryngologists

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dc.authoridMustafa Caner Kesimli / 0000-0003-1675-0394en_US
dc.authorscopusidMustafa Caner Kesimli / 56125668000
dc.authorwosidMustafa Caner Kesimli / AAX-8405-2020
dc.contributor.authorBaşaran, Bora
dc.contributor.authorUnsaler, Selin
dc.contributor.authorKesimli, Mustafa Caner
dc.contributor.authorAslan, İsmet
dc.date.accessioned2021-08-12T06:19:03Z
dc.date.available2021-08-12T06:19:03Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, Ağız Ve Diş Sağlığı Bölümüen_US
dc.description.abstractObjective: To determine flap success rate and complications in patients who underwent microvascular free tissue reconstruction after major head and neck ablative surgery and to report the improvement in the results. Methods: Medical records of 124 patients who were operated on in 2012 to 2019 were retrospectively reviewed. Indications for different free flap types, success rates and re-exploration rates, donor site morbidities, and reasons for flap loss were analyzed. Patients were divided into two groups to identify the effects of the anticoagulant and the antiaggregant treatments on postoperative results. Results: There were 127 flaps in 124 patients, including two different free flaps each in three patients that were harvested and used in the same surgical session. Of the total 127 flaps, 82 (64.6%) were radial forearm flaps, 39 (30.7%) were fibula flaps, and 6 (4.7) were rectus abdominis flaps. Four patients were re-explored for flap perfusion problems, and 18 patients were re-explored for hematoma drainage (n=22/124, %17.3). The rate of hematoma and re-exploration was higher in patients who received anticoagulant and antiaggregant treatments synchronously (p=0.02). Three flaps were lost, and the overall success rate was 97.6%. Two patients died from perioperative complications. No major complications were observed at the donor site; minor complications were observed in 30 patients. Conclusion: The success rate for the 127 flaps in 124 patients were found comparable to those reported in the literature. These results show that successful outcomes can be achieved with experience and a head and neck team dedicated to improving the results in microsurgical reconstruction, and flap failure rarely occurs if perioperative care of the patients is given meticulously.en_US
dc.identifier.citationBaşaran, B., Ünsaler, S., Kesimli, M. C., & Aslan, İ. (2021). Free Flap Reconstruction of the Head and Neck Region: A Series of 127 Flaps Performed by Otolaryngologists. Arch Otorhinolaryngol, 59(2), 103-10.en_US
dc.identifier.doi10.4274/tao.2021.2021-1-9en_US
dc.identifier.endpage110en_US
dc.identifier.issn2667-7466en_US
dc.identifier.issn2667-7474en_US
dc.identifier.issue2en_US
dc.identifier.pmid34386796en_US
dc.identifier.startpage103en_US
dc.identifier.trdizinid508968en_US
dc.identifier.urihttps://doi.org/10.4274/tao.2021.2021-1-9
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1995
dc.identifier.volume59en_US
dc.identifier.wosWOS:000680800800003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKesimli, Mustafa Caner
dc.language.isoenen_US
dc.publisherGALENOS YAYINCILIKen_US
dc.relation.ispartofTURKISH ARCHIVES OF OTORHINOLARYNGOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHead and Neck Canceren_US
dc.subjectReconstructive Surgeryen_US
dc.subjectMicrosurgical Free Flapsen_US
dc.subjectOtolaryngologistsen_US
dc.titleFree flap reconstruction of the head and neck region: a series of 127 flaps performed by otolaryngologistsen_US
dc.typeArticleen_US

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