Analysis of 49 cases of flap compromise in 1310 free flaps for head and neck reconstruction

Head and Neck

Volumn 31, Issue 1, 2009, Pages 45-51

  Yu, Peirong ^a   Chang, David W ^a   Miller, Michael J ^a   Reece, Gregory ^a   Robb, Geoffrey L ^a  

^a UNIVERSITY OF TEXAS   (United States)

Author keywords

Arterial thrombosis; Flap failure; Flap monitoring; Free flap; Head and neck reconstruction; Venous thrombosis

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTERY OCCLUSION; BLOOD VESSEL OCCLUSION; CHILD; CONTROLLED STUDY; FEMALE; FREE TISSUE GRAFT; HEAD AND NECK DISEASE; HEAD AND NECK SURGERY; HUMAN; HUMAN TISSUE; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVIEW; SALVAGE THERAPY; SCHOOL CHILD; SURGICAL TECHNIQUE; THROMBOSIS; VEIN OCCLUSION;

ADOLESCENT; ADULT; AGED; CHILD; FEMALE; HEAD AND NECK NEOPLASMS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; RECONSTRUCTIVE SURGICAL PROCEDURES; RETROSPECTIVE STUDIES; SURGICAL FLAPS; THROMBOSIS; TREATMENT FAILURE; VASCULAR DISEASES; YOUNG ADULT;

EID: 58149528513     PISSN: 10433074     EISSN: 10970347     Source Type: Journal    
DOI: 10.1002/hed.20927     Document Type: Review

References (25)

1. Khouri RK. Avoiding free flap failure. Clin Plast Surg 1992;19:773-781.
2. Godina M. Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg 1986;78: 285-292.
3. Harashina T. Analysis of 200 free flaps. Br J Plast Surg 1988;41:33-36.
4. Khouri RK, Shaw WW. Reconstruction of the lower extremity with microvascular free flaps: a 10-year experience with 304 consecutive cases. J Trauma 1989;29: 1086-1094.
5. Jones NF. Intraoperative and postoperative monitoring of microsurgical free tissue transfers. Clin Plast Surg 1992;19:786-797.
6. Kroll SS, Schusterman MA, Reece GP, et al. Timing of pedicle thrombosis and flap loss after free-tissue transfer. Plast Reconstr Surg 1996;98:1230-1233.
7. Khouri RK, Cooley BC, Kunselman AR, et al. A prospective study of microvascular free-flap surgery and outcome. Plast Reconstr Surg 1998;102:711-721.
8. Jones NF, Farrahy R, Song JI, Kaufman MR, Markowitz B. Postoperative medical complications - not microsurgical complications - negatively influence the morbidity, mortality and true costs after microsurgical reconstruction for head and neck cancer. Plast Reconstr Surg 2007;119:2053-2060.
9. Bui DT, Cordeiro PG, Hu Q, Disa JJ, Pusic A, Mehrara BJ. Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg 2007; 119:2092-2100.
10. May JW Jr, Chait LA, O'Brien BM. The no-reflow phenomenon in experimental free flaps. Plast Reconstr Surg 1978;61:256-267.
11. Schusterman MA, Miller MJ, Reece GP, et al. A single center's experience with 308 free flaps for repair of head and neck cancer defects. Plast Reconstr Surg 1994;93: 472-478.
12. Hidalgo DA, Jones CS. The role of emergent exploration in free-tissue transfer: a review of 150 consecutive cases. Plast Reconstr Surg 1990;86:492-498.
13. Kroll SS, Robb GL, Reece GP, et al. Does prior irradiation increase the risk of total or partial free flap loss? J Reconstr Microsurg 1998;14:263-268.
14. Mulholland S, Boyd JB, McCabe S, et al. Recipient vessels in head and neck microsurgery: radiation effect and vessel access. Plast Reconstr Surg 1993;92:628-632.
15. Brown DH, Mulholland S, Yoo JH, et al. Internal jugular vein thrombosis following modified neck dissection: implications for head and neck flap reconstruction. Head Neck 1998;20:169-174.
16. Cotter CS, Stringer SP, Laudau S, Mancuso AA, Cassis NJ. Patency of the internal jugular vein following modified radical neck dissection. Laryngoscope 1994;104:841-845.
17. De Bree R, van den Berg FG, van Schaik C, et al. Assessment of patency of the internal jugular vein following neck dissection and microvascular flap reconstruction by power Doppler ultrasound. J Laryngol Otol 2002;116:622-626.
18. Quraishi HA, Wax MK, Granke K, Rodman SM. Internal jugular vein thrombosis after functional and selective neck dissection. Arch Otolaryngol Head Neck Surg 1997;123:969-973.
19. Docherty JG, Carter R, Sheldon CD, et al. Relative effect of surgery and radiotherapy on the internal jugular vein following functional neck dissection. Head Neck 1993;15: 553-554.
20. Fisher CB, Mattox DE, Zinreich JS. Patency of the internal jugular vein after functional neck dissection. Laryngoscope 1988:98:923-927.
21. Leontsinis TG, Currie AR, Mannell A. Internal jugular vein thrombosis following functional neck dissection. Laryngoscope 1995;105:169-174.
22. Rosenberg JJ, Fornage BD, Chevray PM. Monitoring buried free flaps: limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test. Plast Reconstr Surg 2006;118:109-113.
23. Swartz WM, Izquierdo R, Miller MM. Implantable venous Doppler microvascular monitoring: laboratory investigations and clinical results. Plast Reconstr Surg 1994;93:152-163.
24. Kind GM, Buntic RF, Buncke GM, Cooper TM, Siko PP, Bundke HJ Jr. The effect of an implantable Doppler probe on the salvage of microvascular tissue transplants. Plast Reconstr Surg 1998;101:1268-1273.
25. Yu P, Youssef A. Efficacy of the handheld Doppler in preoperative identification of the cutaneous perforators in the anterolateral thigh flap. Plast Reconstr Surg 2006;118: 928-933.