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1. Volné laloky v rekonstrukci rozsáhlých defektů po onkochirurgických výkonech v oblasti hlavy a krku.

Author

Binková, H., Hložek, J., Kostřica, R., Horáková, Z., Veselý, J., Stupka, I., Dražan, L., and Hýža, P.

Subjects
*FREE flaps, *NECROSIS, *MUSCULOCUTANEOUS flaps, *LATISSIMUS dorsi (Muscles), *ONCOLOGY research
Abstract

The following study presents a retrospective analysis of microvascular free flap closure of postoperative defects at ENT clinic of St. Anne's hospital in Brno in years 2002-2011. 87 free flaps were transferred with success rate 97.7%; only one flap underwent a total necrosis. The most frequent were free musculocutaneous flaps from m. latissimus dorsi - 43 and fasciocutaneous forearm Chinese flaps - 34. Postoperative defect closures (after previous maxillectomy -29 and glossectomy -18) for advanced tumors T3+T4 (94%) were predominating. The oncologic success rate can be considered as relatively high (5-year DSS 53%); local recurrence underneath the flap was confirmed in 23(26%) cases. [ABSTRACT FROM AUTHOR]

Published
2014

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