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Outcome and complications of 540 microvascular free flaps: the Hamburg experience
- Source :
- Clinical Oral Investigations. 11:89-92
- Publication Year :
- 2006
- Publisher :
- Springer Science and Business Media LLC, 2006.
-
Abstract
- The aim of this study was to retrospectively analyze surgical outcome and complications of 540 free flap procedures performed at the Department of Oral and Maxillofacial Surgery of the University Medical Center Hamburg-Eppendorf during 1987-2005. A total of 532 patients were reconstructed with 540 flaps: 32% were latissimus dorsi flaps, 23% were radial forearm flaps, 21% were iliac crest flaps, 10% were fibula flaps, 6% were jejunal flaps, and 8% were other flaps. Thrombosis of one of the vessels and hematoma were the most frequent causes of failure in microvascular free tissue transfer. A total free flap failure occurred in 34 (6.2%) and a partial flap failure in 42 (7.7%) patients. The most reliable flap in regard to survival was the radial forearm flap. The present study confirms that free flaps are extremely reliable in achieving successful reconstruction of the head and neck.
- Subjects :
- Adult
Male
Microsurgery
medicine.medical_specialty
Adolescent
Free flap
Postoperative Hemorrhage
Anastomosis
Iliac crest
Surgical Flaps
Hematoma
medicine
Humans
Fibula
Child
General Dentistry
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Anastomosis, Surgical
Thrombosis
Retrospective cohort study
Middle Aged
Plastic Surgery Procedures
medicine.disease
eye diseases
Surgery
body regions
Treatment Outcome
medicine.anatomical_structure
Head and Neck Neoplasms
Child, Preschool
Oral and maxillofacial surgery
Female
business
Vascular Surgical Procedures
Subjects
Details
- ISSN :
- 14363771 and 14326981
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Clinical Oral Investigations
- Accession number :
- edsair.doi.dedup.....698f9bcec3d58be60446cf2ca60544c6