Free versus pedicled flaps for reconstruction of head and neck cancer defects: a systematic review.
Flaps
Oncology
Outcomes
Reconstruction
Surgery
Journal
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
ISSN: 1916-0216
Titre abrégé: J Otolaryngol Head Neck Surg
Pays: England
ID NLM: 101479544
Informations de publication
Date de publication:
14 Mar 2019
14 Mar 2019
Historique:
received:
11
07
2018
accepted:
04
03
2019
entrez:
16
3
2019
pubmed:
16
3
2019
medline:
24
12
2019
Statut:
epublish
Résumé
The present review focuses on comparative studies of reconstruction with free flaps (FF) versus pedicled flaps (PF) after oncologic resection. A systematic review was developed in compliance with PRISMA guidelines and performed using the Pubmed, Medline, EMBASE, Amed and Biosis databases. A total of 30 articles were included. FF are associated with a longer operative time, a higher cost and a higher incidence of postoperative revisions compared to PF. FF are associated with a longer stay at the intensive care unit than the supraclavicular artery island flap (SCAIF) and with a more extended hospital stay compared to the submental island flap (SMIF). FF are associated with fewer infections and necrosis compared to the pectoralis major myocutaneous flap (PMMF). The comparison of both type of flaps is limited by the inherent design of the studies included. In sum, FF seem superior to the PMMF for several outcomes. SMIF and SCAIF compare favorably to FF for some specific indications achieving similar outcomes at a lower cost.
Identifiants
pubmed: 30871637
doi: 10.1186/s40463-019-0334-y
pii: 10.1186/s40463-019-0334-y
pmc: PMC6417188
doi:
Types de publication
Comparative Study
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
13Références
Otolaryngol Head Neck Surg. 2002 Sep;127(3):205-12
pubmed: 12297811
Arch Otolaryngol Head Neck Surg. 2002 Dec;128(12):1377-80
pubmed: 12479723
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
Br J Plast Surg. 1963 Oct;16:318-35
pubmed: 14077767
Am J Surg. 1992 Dec;164(6):615-8
pubmed: 1463111
Arch Otolaryngol Head Neck Surg. 2004 Feb;130(2):181-6
pubmed: 14967747
Oral Oncol. 2005 Aug;41(7):694-7
pubmed: 15935728
J Otolaryngol. 2006 Apr;35(2):102-7
pubmed: 16527028
Plast Reconstr Surg. 2007 Aug;120(2):431-6
pubmed: 17632345
Clin Otolaryngol. 2007 Aug;32(4):275-82
pubmed: 17651269
Oral Oncol. 2009 Dec;45(12):1028-31
pubmed: 19796982
Ir J Med Sci. 2010 Sep;179(3):337-43
pubmed: 20151334
J Craniofac Surg. 2010 May;21(3):771-5
pubmed: 20485045
Arch Otolaryngol Head Neck Surg. 2011 Jan;137(1):82-7
pubmed: 21242553
J Plast Reconstr Aesthet Surg. 2011 Aug;64(8):1022-8
pubmed: 21481656
Oral Oncol. 2011 Jun;47(6):522-7
pubmed: 21498107
Head Neck Oncol. 2011 Dec 20;3:51
pubmed: 22185515
Laryngoscope. 2012 Nov;122(11):2402-6
pubmed: 23007956
JAMA Otolaryngol Head Neck Surg. 2013 Jan;139(1):49-53
pubmed: 23329090
Otolaryngol Head Neck Surg. 2013 Jun;148(6):941-8
pubmed: 23554114
J Oral Maxillofac Surg. 2013 Oct;71(10):1800-8
pubmed: 23647877
Curr Opin Otolaryngol Head Neck Surg. 2013 Aug;21(4):305-10
pubmed: 23842288
J Craniofac Surg. 2013;24(5):e450-1
pubmed: 24036811
J Plast Reconstr Aesthet Surg. 2014 Jan;67(1):17-22
pubmed: 24095742
Acta Otorhinolaryngol Ital. 2013 Dec;33(6):380-7
pubmed: 24376293
Otolaryngol Head Neck Surg. 2014 Apr;150(4):558-62
pubmed: 24503306
J Craniofac Surg. 2014 May;25(3):868-71
pubmed: 24699104
Head Neck. 2016 Mar;38(3):E64-7
pubmed: 26041044
J Craniofac Surg. 2015 Sep;26(6):e527-30
pubmed: 26335316
Otolaryngol Head Neck Surg. 2016 Jan;154(1):66-72
pubmed: 26467355
J Oral Maxillofac Surg. 2016 Apr;74(4):860.e1-9
pubmed: 26707542
J Otolaryngol Head Neck Surg. 2016 Feb 05;45:11
pubmed: 26846792
Otolaryngol Head Neck Surg. 2016 Jun;154(6):1014-8
pubmed: 26980913
J Plast Surg Hand Surg. 2016 Aug;50(4):227-32
pubmed: 26983038
Otolaryngol Head Neck Surg. 2017 Jan;156(1):118-121
pubmed: 27600631
Med Oral Patol Oral Cir Bucal. 2016 Nov 1;21(6):e737-e742
pubmed: 27694786
Head Neck. 2017 Mar;39(3):541-547
pubmed: 27898195
Ann Otol Rhinol Laryngol. 2017 Jan;126(1):20-28
pubmed: 27913719
Int J Oral Maxillofac Surg. 2017 Aug;46(8):941-945
pubmed: 28416356
Head Neck Surg. 1986 Jan-Feb;8(3):211-3
pubmed: 3017894
Plast Reconstr Surg. 1979 Jan;63(1):73-81
pubmed: 372988
Br J Plast Surg. 1986 Oct;39(4):469-72
pubmed: 3779193
Br J Plast Surg. 1986 Oct;39(4):473-7
pubmed: 3779194
Arch Otolaryngol Head Neck Surg. 1986 Mar;112(3):297-301
pubmed: 3942635
Plast Reconstr Surg. 1973 Aug;52(2):111-7
pubmed: 4578998
Plast Reconstr Surg. 1997 Apr;99(5):1282-6
pubmed: 9105354
Arch Otolaryngol Head Neck Surg. 1997 Jul;123(7):731-7
pubmed: 9236593