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dc.contributor.authorChen, Ching-En
dc.contributor.authorWu, Shang-Liang
dc.contributor.authorLiao, Wen-Chieh
dc.contributor.authorPerng, Cherng-Kang
dc.contributor.authorMa, Hsu
dc.contributor.authorLin, Chih-Hsun
dc.date.accessioned2019-10-17T00:08:06Z
dc.date.available2019-10-17T00:08:06Z
dc.date.issued2019
dc.identifier.issn0148-7043
dc.identifier.doi10.1097/SAP.0000000000001699
dc.identifier.urihttp://hdl.handle.net/10072/388455
dc.description.abstractBackground: Most of the patients with hypopharyngeal cancer are still diagnosed with advanced stage, and total or partial pharyngectomy with free flap reconstruction is the mainstay of treatment. The aim of this study was to find out the possible risk factors related to surgical complications after free fasciocutaneous flap reconstruction for partial pharyngeal defect and its sequelae in the follow-up. Patients and Methods: We retrospectively reviewed the charts of patients with advanced hypopharyngeal cancer who received free fasciocutaneous flaps for partial pharyngeal defects reconstruction. From 2005 to 2015, 79 free fasciocutaneous flaps (59 free fasciocutaneous flaps and 20 anterolateral thigh flaps) were performed in our department. The risk factors for free flap outcome and complications were evaluated with multivariant linear regression model. Results: The mean age of patients was 60.8 years with male predominance. The mean follow-up duration was 39.6 months. Most of the cases (97.5%) were in stage III or IV. Patients with comorbidities showed significant correlation to flap failure (95% confidence interval [CI] = 0.038 to 0.264, P = 0.10). Anastomosis style (end-to-side vs end-to-end) was the only operation-related factors significantly related to flap failure rate (18.8% vs 3.2%, 95% CI = 0.031 to 0.32, P = 0.18). Flap size was significantly associated with fistula formation (95% CI = −0.005 to 0.000, P = 0.38). Conclusions: In our experience, patients with comorbidities and end-to-side anastomosis illustrate significantly higher flap failure rate in free fasciocutaneous flap reconstruction of partial hypopharyngeal defect. Reconstruction with smaller flap size had higher possibility of fistula formation.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofpagefromS2
dc.relation.ispartofpagetoS5
dc.relation.ispartofissue1S Suppl 1
dc.relation.ispartofjournalAnnals of Plastic Surgery
dc.relation.ispartofvolume82
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsSurgery
dc.subject.keywordshypopharynx
dc.subject.keywordsradial forearm flap
dc.titleDeterminants of Free Fasciocutaneous Flap Outcomes in Partial Hypopharyngeal Defects
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationChen, C-E; Wu, S-L; Liao, W-C; Perng, C-K; Ma, H; Lin, C-H, Determinants of Free Fasciocutaneous Flap Outcomes in Partial Hypopharyngeal Defects, Annals of Plastic Surgery, 2019, 82 (1S Suppl 1), pp. S2-S5
dc.date.updated2019-10-17T00:05:36Z
gro.hasfulltextNo Full Text
gro.griffith.authorWu, Shang-Liang


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