Free flaps: Outcomes and complications in head and neck reconstructions

Bernardo Bianchi, Chiara Copelli, Silvano Ferrari, Andrea Ferri, Enrico Sesenna

Research output: Contribution to journalArticlepeer-review

Abstract

Between 2000 and 2007, 376 free-flap transfers were performed in 352 patients at the Department of Maxillofacial Surgery, University of Parma, Italy. They included 303 reconstructions after cancer surgery (80.6%), 28 secondary reconstructions (7.4%), 32 transfers for facial paralysis (8.5%) and 13 reconstructions for other pathology (3.5%) such as osteonecrosis and ameloblastoma. We determined the rates of major and minor flap, donor-site and systemic complications and analysed their relationships with factors such as aetiology, patient age, smoking history and the presence of comorbid conditions. For the free flaps examined in this study, the overall complication rate was 47%. Major complications occurred in 20.7% of the cases and minor complications in 26.3%. The major flap, donor-site and systemic complication rates were 11.9, 3.2 and 5.6%, respectively. Total flap loss occurred in 15 cases (4%). The minor flap, donor-site and systemic complication rates were 19.1, 4 and 3.2% respectively. Aetiology, patient age, smoking history and the presence of comorbid conditions were related to higher rates of major and minor complications, although these were not statistically significant.

Original languageEnglish
Pages (from-to)438-442
Number of pages5
JournalJournal of Cranio-Maxillofacial Surgery
Volume37
Issue number8
DOIs
Publication statusPublished - Dec 2009

Keywords

  • free flaps
  • head and neck
  • major and minor complications

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Oral Surgery

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