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Results of free flap reconstruction for patients aged 80 years or older with head and neck cancer.
- Source :
-
Auris, nasus, larynx [Auris Nasus Larynx] 2020 Feb; Vol. 47 (1), pp. 123-127. Date of Electronic Publication: 2019 May 03. - Publication Year :
- 2020
-
Abstract
- Objective: 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.<br />Methods: 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.<br />Results: 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.<br />Conclusion: 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.<br /> (Copyright © 2020 Elsevier B.V. All rights reserved.)
- Subjects :
- Aged, 80 and over
Disease-Free Survival
Female
Gastrointestinal Hemorrhage epidemiology
Head and Neck Neoplasms pathology
Head and Neck Neoplasms surgery
Humans
Hypopharyngeal Neoplasms pathology
Hypopharynx surgery
Length of Stay
Male
Mesenteric Artery, Superior
Mesenteric Vascular Occlusion epidemiology
Mouth surgery
Mouth Neoplasms pathology
Retrospective Studies
Squamous Cell Carcinoma of Head and Neck pathology
Tissue Transplantation methods
Forearm
Free Tissue Flaps
Hypopharyngeal Neoplasms surgery
Jejunum transplantation
Mouth Neoplasms surgery
Postoperative Complications epidemiology
Plastic Surgery Procedures methods
Squamous Cell Carcinoma of Head and Neck surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1476
- Volume :
- 47
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Auris, nasus, larynx
- Publication Type :
- Academic Journal
- Accession number :
- 31060883
- Full Text :
- https://doi.org/10.1016/j.anl.2019.04.005