대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제24권4호
  • /
  • Pages.159-166
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  • 2023
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction

  • Beom Jin Lim (Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School) ;
  • Jin Yong Shin (Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School) ;
  • Si-Gyun Roh (Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School) ;
  • Nae-Ho Lee (Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School) ;
  • Yoon Kyu Chung (Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School)
  • 투고 : 2023.06.26
  • 심사 : 2023.08.18
  • 발행 : 2023.08.20
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초록

Background: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure. Methods: This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021. Results: During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery. Conclusion: Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.

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과제정보

This paper was supported by funding from the Biomedical Research Institute, Jeonbuk National University Hospital.

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