Salvage of failed free flaps used in head and neck reconstruction

被引：151
作者：
Novakovic, Daniel [1 ,2 ]
Patel, Rajan S. [3 ]
Goldstein, David P. [1 ,2 ]
Gullane, Patrick J. [1 ,2 ]
机构：
[1] Princess Margaret Hosp, Dept Otolaryngol Head & Neck Surg, Toronto, ON M4X 1K9, Canada
[2] Univ Toronto, Toronto, ON, Canada
[3] Univ Auckland, Auckland City Hosp, Dept Otolaryngol Head & Neck Surg, Auckland 1, New Zealand
来源：
HEAD & NECK ONCOLOGY | 2009年 / 1卷
关键词：
FREE-TISSUE TRANSFER; INTERNAL JUGULAR-VEIN; SIDE ANASTOMOSIS; DOPPLER PROBE; COMPLICATIONS; THROMBOSIS; TRANSFERS; SURGERY; END; EXPERIENCE;
D O I：
10.1186/1758-3284-1-33
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Free flap success rates are in excess of 95%. Vascular occlusion (thrombosis) remains the primary reason for flap loss, with venous thrombosis being more common than arterial occlusion. The majority of flap failures occur within the first 48 hours. With early recognition and intervention of flap compromise salvage is possible. Successful salvage rates range from 28% to over 90%. Rapid re-exploration in this clinical setting is crucial to maximise the chances of flap salvage. If salvage is not feasible or unsuccessful then non-surgical methods of salvage may be employed with some possibility of success. The purpose of this article is to review the causes of free flap failure and to highlight the available options for salvage.
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页数：5
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