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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2013, Number 3

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Cir Plast 2013; 23 (3)

Head and neck reconstruction with free flaps in non-oncologic patients. 200 cases

Íñigo MF, Reyes AM, Íñigo AF, Zendejas RL

Language: Spanish
References: 33
Page: 136-145
PDF size: 460.33 Kb.


ABSTRACT

192 patients with non-oncological pathology were studied and two hundred free flaps for reconstructing the head and neck regions were performed. Pathological entities included Romberg’s disease, hemifacial microsomia, acquired facial palsy, trauma, and burn sequelae. Indications for selecting a specific free flap for reconstructing each case, the type of anastomoses, re-exploration, time required for surgery, flap success, surgical time, length of hospitalization, and complications were studied. The long-term results of cosmetic and functional aspects were also obtained. Patient’s ages ranged from 6 to 40 years. The most common diagnosis was Romberg’s disease 39% (n = 75), followed by hemifacial microsomia 20% (n = 40). The free flap most frequently used was the scapular flap 32% (n = 64), followed by the groin free flap 21% (n = 42). A total of 190 flaps (95%) were successful, whereas only 10 (5%) were lost. The mean operative time was 5:30 h and the average hospital stay was six days. There were no major complications and no deaths in the study group. The patients were followed for at least one year in all cases. We concluded that free flaps are safe and reliable procedures for reconstructing complex non-oncological head and neck defects.


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