کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5638191 1583689 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Free flap reconstruction for patients aged 85 years and over with head and neck cancer: clinical considerations for comprehensive care
ترجمه فارسی عنوان
بازسازی فلپ آزاد برای بیماران 85 ساله و بالاتر با سرطان سر و گردن: ملاحظات بالینی برای مراقبت جامع
کلمات کلیدی
بیماران 85 ساله و بالاتر سر و گردن، باز فلپ آزاد،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

We aimed to identify and evaluate the clinical challenges involved in microvascular flap reconstructions of defects caused by resection of head and neck cancer among patients aged 85 and over. We designed a retrospective study of patients who were treated in the head and neck department of a tertiary referral centre from 2005 to 2015, and all patients aged 85 years and over who had reconstructions with microvascular flaps for head and neck cancer were entered into the study. A total of 24 patients fulfilled the criteria, of whom 15 were men and nine were women. The median (range) duration of stay in hospital was 23 (14-59) days. Eighteen patients had an American Society of Anesthesiologists (ASA) score grade II and six patients grade III. The median (range) operating time was 420 (310-705) minutes, and operative blood loss 550 (200-1500) ml. Sixteen patients had prophylactic tracheostomies, nine of whom developed postoperative surgical complications, seven associated with the tracheostomy (p = 0.005). Resections of head and neck cancer and microvascular reconstructions in patients aged 85 and over are associated with a high incidence of postoperative complications. Medical complications tend to be associated with the tracheostomy while surgical complications are potentially associated with the ASA score. Although the morbidity is high, complex resections and microvascular reconstructions are successful with optimum recovery, and age did not seem to influence the outcome. However, it is necessary to avoid prophylactic tracheostomy if possible in these patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: British Journal of Oral and Maxillofacial Surgery - Volume 55, Issue 8, October 2017, Pages 793-797
نویسندگان
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