Delayed Reconstruction after Major Head and Neck Cancer Resection: An Interdisciplinary Feasibility Study.
free flap
head and neck cancer
laryngectomy
radiochemotherapy
salvage surgery
Journal
Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829
Informations de publication
Date de publication:
16 May 2023
16 May 2023
Historique:
received:
19
04
2023
revised:
09
05
2023
accepted:
13
05
2023
medline:
22
6
2023
pubmed:
22
6
2023
entrez:
22
6
2023
Statut:
epublish
Résumé
A single immediate reconstruction with free tissue transfer is the method of choice after major head and neck cancer (HNC) resection, but this is frequently associated with long operating hours. Considering regulatory working hour constraints, we investigated whether a two-staged reconstructive approach with temporary defect coverage by an artificial tissue substitute would be feasible. HNC patients underwent either immediate or delayed reconstruction after tumor resection. Patients with delayed reconstruction received preliminary reconstruction with an artificial tissue substitute followed by definitive microvascular reconstruction in a separate, second procedure. Of the 33 HNC patients, 13 received delayed reconstruction and 20 received immediate reconstruction. Total anesthesia time (714 vs. 1011 min;
Identifiants
pubmed: 37345114
pii: cancers15102777
doi: 10.3390/cancers15102777
pmc: PMC10216697
pii:
doi:
Types de publication
Journal Article
Langues
eng
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