头颈部游离皮瓣重建术后再次探查手术的结果
Outcomes of Re-exploration Procedures After Head and Neck Free Flap Reconstruction.
作者信息
Kudpaje Akshay, Thankappan Krishnakumar, Rajan Rajisha Paruthappara, Vidhyadharan Sivakumar, Balasubramanian Deepak, Wakure Abhijeet, Mathew Jimmy, Sharma Mohit, Iyer Subramania
机构信息
Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala India.
Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, AIMS Ponekkara PO, Kochi, Kerala India.
出版信息
Indian J Surg Oncol. 2021 Sep;12(3):530-537. doi: 10.1007/s13193-021-01368-8. Epub 2021 Jun 8.
This study was conducted to evaluate the outcomes of re-exploration procedures done after head and neck microvascular flap reconstructions. This is a retrospective review of 109 flaps in 106 patients (three patients had two flaps each) that underwent re-exploration procedures in 1001 consecutive free flap surgeries. The outcome was analysed in terms of the type of the flaps, re-exploration rate, flap salvage rate and overall flap success rate. Free radial forearm (RFF) was the commonest flap done (354, 35.3%). One hundred nine flaps underwent re-exploration procedures in 106 patients. Out of this, 79 flaps could be salvaged, and 30 flaps failed. There were also another ten flaps, which failed without any re-exploration. The overall re-exploration rate was 10.8%. The flap salvage rate was 72.4%. The overall flap success rate was 96.1%. Nearly three-fourths of the flaps with vascular compromise can be successfully salvaged with appropriate and timely intervention.
本研究旨在评估头颈部微血管皮瓣重建术后再次探查手术的结果。这是一项对106例患者（其中3例患者各有两个皮瓣）的109个皮瓣进行的回顾性研究，这些皮瓣在连续1001例游离皮瓣手术中接受了再次探查手术。根据皮瓣类型、再次探查率、皮瓣挽救率和皮瓣总体成功率对结果进行了分析。游离桡侧前臂皮瓣（RFF）是最常使用的皮瓣（354例，占35.3%）。106例患者的109个皮瓣接受了再次探查手术。其中，79个皮瓣得以挽救，30个皮瓣失败。另外还有10个皮瓣未进行再次探查就失败了。总体再次探查率为10.8%。皮瓣挽救率为72.4%。皮瓣总体成功率为96.1%。近四分之三出现血管危象的皮瓣通过适当及时的干预可以成功挽救。
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