Microvascular free-flap transfer for head and neck reconstruction in elderly patients
Open Access
- 8 October 2013
- journal article
- Published by Springer Science and Business Media LLC in BMC Surgery
- Vol. 13 (S2), S27
- https://doi.org/10.1186/1471-2482-13-s2-s27
Abstract
With the increase in life expectancy, the incidence of head and neck cancer has grown in the elderly population. Free tissue transfer has become the first choice, among all the reconstructive techniques, in these cases. The safety and success of micro vascular transfer have been well documented in the general population, but its positive results achieved in elderly patients have received less attention. We retrospectively studied 28 patients over the age of 60 years. The aim of this paper was to study the success rate of free tissue transfer and investigate the complication incidence in this patient population. Twenty-eight free flaps were performed to reconstruct medium to large cervico-facial surgical defects in six years. No difference was noted between success and complication rates observed between general and elderly population. This study indicates that free-flap technique for head and neck reconstruction could be considered a safe option in elderly patients when a good pre-operative general status is present.Keywords
This publication has 17 references indexed in Scilit:
- Flap Monitoring and Patient ManagementPlastic and Reconstructive Surgery, 2009
- Analysis of 49 cases of flap compromise in 1310 free flaps for head and neck reconstructionHead & Neck, 2008
- Lung function decline and outcomes in an elderly populationThorax, 2006
- Complications in a Consecutive Series of 250 Free Flap OperationsAnnals of Plastic Surgery, 2006
- Microsurgical Free-Tissue Transfer in the Elderly PatientPlastic and Reconstructive Surgery, 1991
- Free-Tissue Transfer in Elderly PatientsPlastic and Reconstructive Surgery, 1991
- The Role of Emergent Exploration in Free-Tissue TransferPlastic and Reconstructive Surgery, 1990
- Risk of Noncardiac Operation in Patients with Defined Coronary Disease: The Coronary Artery Surgery Study (CASS) Registry ExperienceThe Annals of Thoracic Surgery, 1986
- Comparative Mortality for Various Surgical Operations in Older versus Younger Age Groups*Journal of the American Geriatrics Society, 1972
- Prediction of Operative Reserve in the Elderly PatientAnnals of Surgery, 1968