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Article: Microvascular free tissue reconstruction following extirpation of head and neck tumour: Experience towards an optimal outcome

TitleMicrovascular free tissue reconstruction following extirpation of head and neck tumour: Experience towards an optimal outcome
Authors
KeywordsHead and Neck Neoplasms
Outcome Assessment (Health Care)
Surgical Flaps
Issue Date2002
PublisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=JLO
Citation
Journal Of Laryngology And Otology, 2002, v. 116 n. 11, p. 929-936 How to Cite?
AbstractFamiliarity with four types of free tissues transfers allows appropriate reconstruction of most defects in the head and neck region functionally and aesthetically. These include jejunal graft, radial forearm, rectus abdominus myocutaneous and fibula osteocutaneous flaps. Free colonic and gastric patches were used occasionally. We report our experience of 215 free tissue transfers for reconstruction of defects in the head and neck region after tumour extirpation. The overall success rate was 94 per cent. The commonest cause of failure was related to arterial inflow (70 per cent). Three patients died in hospital, but their mortality was not related to the tissue transfers. Complications due to free tissue transfer at both the donor and recipient sites were few and manageable. The co-operation between the two surgical teams, together with the timely application of suitable salvage procedures, contribute to an optimal outcome.
Persistent Identifierhttp://hdl.handle.net/10722/43512
ISSN
2015 Impact Factor: 0.736
2015 SCImago Journal Rankings: 0.447
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, LKen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorChan, VSHen_HK
dc.contributor.authorNg, RWMen_HK
dc.contributor.authorHo, WKen_HK
dc.date.accessioned2007-03-23T04:47:37Z-
dc.date.available2007-03-23T04:47:37Z-
dc.date.issued2002en_HK
dc.identifier.citationJournal Of Laryngology And Otology, 2002, v. 116 n. 11, p. 929-936en_HK
dc.identifier.issn0022-2151en_HK
dc.identifier.urihttp://hdl.handle.net/10722/43512-
dc.description.abstractFamiliarity with four types of free tissues transfers allows appropriate reconstruction of most defects in the head and neck region functionally and aesthetically. These include jejunal graft, radial forearm, rectus abdominus myocutaneous and fibula osteocutaneous flaps. Free colonic and gastric patches were used occasionally. We report our experience of 215 free tissue transfers for reconstruction of defects in the head and neck region after tumour extirpation. The overall success rate was 94 per cent. The commonest cause of failure was related to arterial inflow (70 per cent). Three patients died in hospital, but their mortality was not related to the tissue transfers. Complications due to free tissue transfer at both the donor and recipient sites were few and manageable. The co-operation between the two surgical teams, together with the timely application of suitable salvage procedures, contribute to an optimal outcome.en_HK
dc.format.extent2396798 bytes-
dc.format.extent45324 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.languageengen_HK
dc.publisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=JLOen_HK
dc.relation.ispartofJournal of Laryngology and Otologyen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsJournal of Laryngology and Otology. Copyright © Cambridge University Press.en_HK
dc.subjectHead and Neck Neoplasmsen_HK
dc.subjectOutcome Assessment (Health Care)en_HK
dc.subjectSurgical Flapsen_HK
dc.subject.meshHead and neck neoplasms - surgeryen_HK
dc.subject.meshReconstructive surgical procedures - methodsen_HK
dc.subject.meshPostoperative complications - etiologyen_HK
dc.subject.meshSurgical flaps - blood supplyen_HK
dc.subject.meshMicrocirculationen_HK
dc.titleMicrovascular free tissue reconstruction following extirpation of head and neck tumour: Experience towards an optimal outcomeen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-2151&volume=116&issue=11&spage=929&epage=936&date=2002&atitle=Microvascular+free+tissue+reconstruction+following+extirpation+of+head+and+neck+tumour:+Experience+towards+an+optimal+outcomeen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1258/00222150260369480en_HK
dc.identifier.pmid12487674-
dc.identifier.scopuseid_2-s2.0-0036853310en_HK
dc.identifier.hkuros77433-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036853310&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume116en_HK
dc.identifier.issue11en_HK
dc.identifier.spage929en_HK
dc.identifier.epage936en_HK
dc.identifier.isiWOS:000179461700013-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLam, LK=7201984637en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridChan, VSH=7202654941en_HK
dc.identifier.scopusauthoridNg, RWM=7102153861en_HK
dc.identifier.scopusauthoridHo, WK=7402968844en_HK

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