Osseous and osteocutaneous free flaps in head and neck reconstructive surgery - Results of the IPOLFG ENT department
DOI:
https://doi.org/10.34631/sporl.961Keywords:
Free Tissue Flaps, Fibula, Scapula, ComplicationsAbstract
Objectives: Evaluate the surgical success and complications of bone and osteocutaneous free flaps.
Study design: Retrospective.
Material e Methods: Analysis of all bone and osteocutaneous free flaps performed at the Otorhinolaryngology department of IPOLFG, between 2015 and 2020.
Results: Sixteen patients were evaluated, with a mean age of 50.3±17.4 years and 62.5% male. Nine free flaps from the fibula and seven from the scapula were performed, viable in 93.8% of the cases. The functional result was successful in 81.2% of cases. Record of two major early complications, one hemorrhagic and one requiring total flap resection. The most common late complications were infection and extrusion of the osteosynthesis material. The diagnosis of malignant neoplasm and osteonecrosis prior to reconstructive surgery were associated with complications.
Conclusions: Bone and osteocutaneous free flaps have high surgical and functional success rates, with a good long-term viability in head and neck reconstructive surgery.
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