Outcomes of free flap reconstruction in the elderly

被引：24
|
作者：
Vaz, Jason A. [1 ]
Cote, David W. J. [1 ]
Harris, Jeffrey R. [1 ]
Seikaly, Hadi [1 ]
机构：
[1] Univ Alberta, Div Otolaryngol Head & Neck Surg, Edmonton, AB, Canada
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2013年 / 35卷 / 06期
关键词：
free flap; elderly; geriatric; head and neck; cancer; FREE-TISSUE TRANSFER; PROGNOSTIC-FACTOR; RADIAL FOREARM; NECK-CANCER; MAJOR HEAD; COMPLICATIONS;
D O I：
10.1002/hed.23057
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background The reconstructive surgeon is often faced with the dilemma of offering free flap reconstruction to the elderly after surgical extirpation in the head and neck due to the perception that this population tolerates these procedures poorly. Methods A 42-month retrospective review of all microvascular free flap reconstruction cases from a large head and neck oncology program was reviewed. A series of 278 patients met inclusion criteria and were stratified into 2 age groups: 45 to 64.9 years (n = 177) and 65 years (n = 101). Results There was no significant difference in primary outcomes, anastomotic compromise (p = .36), unsalvageable flaps (p = .46), secondary outcomes, complicated recoveries (p = .29), or deaths within 30 days of surgery (p = .14) between the 2 groups. However, the length of postoperative recovery was increased in the elderly cohort (p = .029). Conclusions Given that outcomes were similar between young and elderly patients, surgeons should not restrict the use of free flaps based on their patients' age. Head Neck 35: 884-888, 2013
引用
收藏
页码：884 / 888
页数：5
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