Flow-Through Flaps as a Robust Method for Advanced Free Flap Reconstruction in the Head and Neck: A Multi-Institutional Experience

被引：0

作者：

Mastrolonardo, Eric V. ^{[1
]}

Sussman, Sarah ^{[2
]}

Llerena, Pablo ^{[1
]}

Amin, Dev R. ^{[1
]}

Nunes, Kathryn ^{[1
]}

Bridgham, Kelly ^{[1
]}

De Ravin, Emma ^{[1
]}

Campbell, Daniel J. ^{[1
]}

Agarwal, Aarti ^{[1
]}

Philips, Ramez ^{[3
]}

Rind, Fahad ^{[2
]}

Ivancic, Ryan ^{[2
]}

Mcilwain, Wesley ^{[4
]}

Kang, Stephen Y. ^{[2
]}

Ducic, Yadranko ^{[4
]}

Sweeny, Larissa ^{[5
]}

Moreno, Mauricio A. ^{[6
]}

Meyers, Rene P. ^{[7
]}

Thomas, Carissa M. ^{[8
]}

Rajasekaran, Karthik ^{[9
]}

Wax, Mark ^{[10
]}

Curry, Joseph M. ^{[1
]}

Hanasono, Matthew M. ^{[11
]}

机构：

[1] Thomas Jefferson Univ, Dept Otolaryngol Head & Neck Surg, Philadelphia, PA USA

[2] Ohio State Univ, Wexner Med Ctr, Dept Otolaryngol Head & Neck Surg, Columbus, OH USA

[3] Univ Chicago, Dept Otolaryngol Head & Neck Surg, Chicago, IL USA

[4] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX USA

[5] Univ Miami, Dept Otolaryngol Head & Neck Surg, Miami, FL USA

[6] Univ Arkansas Med Sci, Dept Otolaryngol Head & Neck Surg, Little Rock, AR USA

[7] Univ Alabama Birmingham, Dept Surg, Birmingham, AL USA

[8] Univ Alabama Birmingham, Dept Otolaryngol Head & Neck Surg, Birmingham, AL USA

[9] Univ Penn, Dept Otorhinolaryngol Head & Neck Surg, Philadelphia, PA USA

[10] Oregon Hlth & Sci Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Portland, OR USA

[11] Univ Texas MD Anderson Canc Ctr, Dept Plast Surg, Houston, TX 77030 USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2025年 / 47卷 / 05期

关键词：

flow-through flap; free flap; free tissue transfer; head and neck; reconstruction; SURGERY; DEFECTS;

D O I：

10.1002/hed.28061

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundFlow-through flaps (FTFs) are an advanced technique in which a free flap is anastomosed to the pedicle of another free flap to reconstruct extensive head and neck defects when recipient vessels are scarce.MethodsA multi-institutional cohort of FTFs used for head and neck reconstruction were reviewed. For comparison, FTF outcomes were compared to free flaps that required vein grafts (VG) to reach distant recipient vessels.ResultsA total of forty-two patients underwent surgery using a FTF configuration, including 32 simultaneous and 10 sequential FTFs. There were no instances of flap failure compared to a 7% flap failure rate in the VG group (n = 54). The overall postoperative complication rate was 28% compared to a 46% complication rate in the VG group (p = 0.093).ConclusionFTFs are a reliable option for reconstruction of extensive head and neck defects when recipient blood vessel availability is limited.

引用

页码：1462 / 1470

页数：9

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