Results of free flap reconstruction for patients aged 80 years or older with head and neck cancer.
Aged, 80 and over
Disease-Free Survival
Female
Forearm
Free Tissue Flaps
Gastrointestinal Hemorrhage
/ epidemiology
Head and Neck Neoplasms
/ pathology
Humans
Hypopharyngeal Neoplasms
/ pathology
Hypopharynx
/ surgery
Jejunum
/ transplantation
Length of Stay
Male
Mesenteric Artery, Superior
Mesenteric Vascular Occlusion
/ epidemiology
Mouth
/ surgery
Mouth Neoplasms
/ pathology
Postoperative Complications
/ epidemiology
Plastic Surgery Procedures
/ methods
Retrospective Studies
Squamous Cell Carcinoma of Head and Neck
/ pathology
Tissue Transplantation
/ methods
ASA physical status classifications
Elderly
Forearm flap
Free jejunum
Hypopharyngeal cancer
Oral cancer
Journal
Auris, nasus, larynx
ISSN: 1879-1476
Titre abrégé: Auris Nasus Larynx
Pays: Netherlands
ID NLM: 7708170
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
28
12
2018
revised:
12
04
2019
accepted:
17
04
2019
pubmed:
8
5
2019
medline:
2
12
2020
entrez:
8
5
2019
Statut:
ppublish
Résumé
Free flap reconstruction in elderly patients is one of the most challenging surgeries in the treatment of head and neck cancers. The aim of this study was to examine the oncological and functional outcomes of free flap reconstruction for elderly patients with head and neck cancer. We retrospectively reviewed elderly patients who underwent free flap reconstruction for the treatment of head and neck cancers. All patients were 80 years or older. Clinicopathologic features, surgical procedures, oncological and functional outcomes were obtained from medical records. Free flap reconstructions were performed in 13 patients (3 female, 10 male). The mean age was 82.6 ± 3.4 years (range: 80-91). The mean follow-up period was 23.3 months (range 4-41 months). The mean disease-free survival was 49 ± 6 months (range 4-60 months). All patients had been alive more than one year after surgery. Reconstruction was performed using free jejunum in 10 patients and radial forearm flap in 3 patients. Graft necrosis occurred in 2 patients. Other two patients experienced major postoperative medical complications. Free flap reconstruction in well-selected older adults is safe and effective. Advanced age should not preclude consideration of free flap reconstruction in those patients.
Identifiants
pubmed: 31060883
pii: S0385-8146(18)31084-8
doi: 10.1016/j.anl.2019.04.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
123-127Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.