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.

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@article{08f2c1b9e58a416e836fb9f331498f17,
title = "Outcome and complications of 540 microvascular free flaps: the Hamburg experience.",
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.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Anastomosis, Surgical, Child, Child, Preschool, Female, Head and Neck Neoplasms, Humans, Male, Microsurgery, Middle Aged, Postoperative Hemorrhage, Reconstructive Surgical Procedures, Retrospective Studies, Surgical Flaps, Thrombosis, Treatment Outcome, Vascular Surgical Procedures",
author = "Philipp Pohlenz and Marco Blessmann and Felix Blake and Lei Li and Rainer Schmelzle and Max Heiland",
year = "2007",
month = mar,
day = "1",
doi = "10.1007/s00784-006-0073-0",
language = "English",
volume = "11",
pages = "89--92",
journal = "CLIN ORAL INVEST",
issn = "1432-6981",
publisher = "Springer",
number = "1",

}

RIS

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 -