Outcome and complications of 540 microvascular free flaps: the Hamburg experience.
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Outcome and complications of 540 microvascular free flaps: the Hamburg experience. / Pohlenz, Philipp; Blessmann, Marco; Blake, Felix; Li, Lei; Schmelzle, Rainer; Heiland, Max.
In: CLIN ORAL INVEST, Vol. 11, No. 1, 1, 01.03.2007, p. 89-92.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Outcome and complications of 540 microvascular free flaps: the Hamburg experience.
AU - Pohlenz, Philipp
AU - Blessmann, Marco
AU - Blake, Felix
AU - Li, Lei
AU - Schmelzle, Rainer
AU - Heiland, Max
PY - 2007/3/1
Y1 - 2007/3/1
N2 - 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.
AB - 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.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Anastomosis, Surgical
KW - Child
KW - Child, Preschool
KW - Female
KW - Head and Neck Neoplasms
KW - Humans
KW - Male
KW - Microsurgery
KW - Middle Aged
KW - Postoperative Hemorrhage
KW - Reconstructive Surgical Procedures
KW - Retrospective Studies
KW - Surgical Flaps
KW - Thrombosis
KW - Treatment Outcome
KW - Vascular Surgical Procedures
U2 - 10.1007/s00784-006-0073-0
DO - 10.1007/s00784-006-0073-0
M3 - SCORING: Journal article
C2 - 17009026
VL - 11
SP - 89
EP - 92
JO - CLIN ORAL INVEST
JF - CLIN ORAL INVEST
SN - 1432-6981
IS - 1
M1 - 1
ER -