کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3131881 | 1584120 | 2016 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Surgical exploration of 71 free flaps in crisis following head and neck reconstruction
ترجمه فارسی عنوان
اکتشاف جراحی 71 فلاپ آزاد در بحران پس از بازسازی سر و گردن
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی
The medical records of patients who had undergone a free flap reconstruction after radical resection of oral cancer between January 2009 and December 2013 at the study hospital in China were reviewed retrospectively. Of the 1550 patients who underwent free flap reconstructions, 71 were explored for suspected flap compromise caused by postoperative thrombosis. Patient demographic data, clinicopathological data of the tumour, details of the free flaps, and operative findings were assessed, and the medical records were analyzed to identify the reasons for intervention and the outcomes. Of the 71 flaps in crisis, 47 (66.2%) were salvaged. Free flap failure was 6.2-times more likely to develop in patients undergoing surgical exploration after 72Â h (95% confidence interval 2.090-18.197, PÂ =Â 0.001). Of the 19 flaps identified as subject to delayed exploration, 14 failed and three had partial necrosis. Free flap failure was 3.4-times more likely to develop in patients with perforator flaps (95% confidence interval 1.222-9.719, PÂ =Â 0.019). The early detection of free flap failure is critical to flap salvage. The salvage success rate decreases significantly at >72Â h after the initial operation. It appears to be more difficult to salvage a perforator flap.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Oral and Maxillofacial Surgery - Volume 45, Issue 2, February 2016, Pages 153-157
Journal: International Journal of Oral and Maxillofacial Surgery - Volume 45, Issue 2, February 2016, Pages 153-157
نویسندگان
X. Yang, S. Li, K. Wu, L. Hu, W. Liu, T. Ji, Y. Hu, L. Xu, J. Sun, Z. Zhang, C. Zhang,