This branch aims to investigate the flap endurance rate and review each vascular compromised flaps. Defects following in position or time radical redistribute for advanced head and narrow connector malignancies are difficult, and doubtlessly, microvascular free flap reconstruction is best choice alternative. This is a reviewed of inmates the one underwent microvascular free flap for head and narrow connector reconstruction from 2012 to late 2021. Totally, 218 microvascular free flap reconstructions were acted on 204 head and neck inmates. There were 112 (51.3%) radial antibrachium flaps (RFF), 82 (37.6%) hold on something flaps (FF) and 24 (11%) anterior sideways thigh (ALT) flaps. With 16 entire flap losses and 3 biased flap misfortunes, the overall flap survival rate was 91.8% (19/218), while the failure flap survival rate was 92.7% (16/218). In RFF, skilled were 7 complete and 1 partial flap misfortune, giving an overall flap endurance rate 92.9% (8/112) and flap continuation in turn of complete deficit 93.8% (7/112). The rate of vascular flap problems in our succession was 12.3% (27/218), with a remediable rate of 29.6% (8/27). RFF 46.6% (7/15) of the flaps were recoverable. The judgments support the knowledge curve in microvascular free flap surgery, and RFF is a good flap for a neophyte. Cancer which was called as inoperable former, has become possible contemporary with the feasibility of reconstruction by free flap.
Author(s) Details:
N. Brian Shunyu,
Department of Otorhinolaryngology and Head and Neck Surgery,
NEIGRIHMS, Shillong, Meghalaya, India.
Suvamoy Chakraborty,
Department
of Otorhinolaryngology and Head and Neck Surgery, NEIGRIHMS, Shillong,
Meghalaya, India.
Lomtu Ronrang,
Department of Dentistry, NEIGRIHMS, Shillong, Meghalaya, India.
Zareen Lynrah,
Department of Dentistry, NEIGRIHMS, Shillong, Meghalaya, India.
Hanifa Aktar,
Department of ENT, Woodland Hospital, Shillong, Meghalaya, India.
Jayanta Medhi,
Department
of ENT, Narayana Hospital, Guwahati, Assam, India.
Deepanava J. Das,
Department of ENT, Hayat Hospital, Guwahati, Assam, India.
Chanmiki Sayoo,
Department of ENT, Woodland Hospital, Shillong, Meghalaya, India.
Clement Momin,
Department of ENT, CISHR Hospital, Nagaland, India.
Please see the link here: https://stm.bookpi.org/ACMMR-V3/article/view/12372
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