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Retrospective Study of 114 Free Flaps for Head and Neck Oncological Reconstruction in a Portuguese Tertiary Cancer Center

2022Journal article Open access
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dc.contributor.authorSilva, A
dc.contributor.authorCaixeirinho, P
dc.contributor.authorVilares, M
dc.contributor.authorSemedo, C
dc.contributor.authorMartins, M
dc.contributor.authorZagalo, C
dc.contributor.authorCasal, D
dc.date.accessioned2022-04-20T14:17:03Z
dc.date.available2022-04-20T14:17:03Z
dc.date.issued2022
dc.description.abstractIntroduction: The Portuguese experience in microsurgical reconstruction of the head and neck after oncological surgery is scantly described. The primary aim of this study was to characterize the use of microvascular reconstruction after head and neck tumor resection in a Portuguese tertiary oncological centerMaterial and Methods: The authors retrospectively evaluated 114 microvascular free flap procedures performed for head and neck reconstruction after oncological resection in a department of Head and Neck Surgery of a Portuguese tertiary oncological center. Patients were operated on from January 2012 to May 2018. Data on patient demographic features, tumour characteristics, perioperative complications, postoperative aesthetic and functional results, survival time and time to recurrence were extracted. Results: Most tumours mandating microsurgical reconstruction were mucosal squamous cell carcinomas (85%) and were located in the oral region (95.6%). Around 45% of the patients had a T4a tumour and 30% a T2 tumour. Cervical metastases were present in 45.6% of the cases. The radial forearm flap and the fibular flap were the most commonly used microsurgical reconstructive options (58% and 41%, respectively). More than 80% of patients had no post-operative complications. Partial necrosis of the flap occurred in 6.1% of patients, while total flap necrosis occurred in 3.5% of cases. Aesthetic and functional results were considered at least satisfactory in all patients in which the flaps survived. Discussion: This study is by far the largest series of microsurgical head and neck reconstruction after oncological surgery reported by a single tertiary centre in Portugal. Survival and functional benefits are similar to those reported in other large oncological centres in the world. Conclusion: Microvascular reconstruction seems like a reliable treatment option in head and neck oncological surgery at our institution.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2022 Mar 2;35(3):192-200.pt_PT
dc.identifier.doi10.20344/amp.13734.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4042
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.subjectHSJ CIR MAXFACpt_PT
dc.subjectHSJ ESTpt_PT
dc.subjectHSJ CPRpt_PT
dc.subjectHumanspt_PT
dc.subjectFree Tissue Flaps*pt_PT
dc.subjectPortugalpt_PT
dc.subjectHead and Neck Neoplasms* / surgerypt_PT
dc.subjectPostoperative Complications / epidemiologypt_PT
dc.subjectReconstructive Surgical Procedures* / methodspt_PT
dc.subjectRetrospective Studiespt_PT
dc.titleRetrospective Study of 114 Free Flaps for Head and Neck Oncological Reconstruction in a Portuguese Tertiary Cancer Centerpt_PT
dc.title.alternativeAvaliação Retrospetiva da Reconstrução Oncológica da Cabeça e Pescoço com 114 Retalhos Livres num Centro Oncológico Terciário Portuguêspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage200pt_PT
oaire.citation.startPage192pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume35pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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