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. 2022 Dec;74(Suppl 3):6246-6250.
doi: 10.1007/s12070-021-02958-2. Epub 2021 Nov 23.

Microvasular Free Flap Reconstruction in Head and Neck Surgery: Complication and Outcome of 80 Flaps

Gur Paramjeet Singh Gill  1 , Priyadarshan Chitale  2 , Rupinder Bakshi  3 , Amit Yadav  4 , Vikram Jeet Singh Gill  5
Affiliations

Microvasular Free Flap Reconstruction in Head and Neck Surgery: Complication and Outcome of 80 Flaps

Gur Paramjeet Singh Gill et al. Indian J Otolaryngol Head Neck Surg. 2022 Dec.

Abstract

Head and neck carcinoma can prompt destroying cosmetic and functional deformities with resultant mental, physical and nourishing burden. Regardless of ongoing advances in medication and surgical procedure, the general endurance for patients with head and neck malignant growth has stayed still for as long as 35 years. This endurance rate has prompted the foundation of the standards of tumor extraction with most extreme tissue saving and more up to date endoscopic laser-helped methods for auto-digestive region malignant growths targeting diminishing operational morbidity without influencing the general endurance. This retrospective and prospective study contained 80 patients who went through miniature vascular free flap remaking following a significant head and neck oncosurgery procedure from 01/01/2017-to-31/12/2019. Three kinds of free flaps were fundamentally utilized. The current study was directed to assess the clinical result in patients going through miniature vascular free flap reproduction and to decide the viability after head and neck onco-surgical procedure method. Despite the fact that miniature vascular free flaps are today viewed as cutting edge in head and neck remaking after composite resection with predominant effective and stylish rebuilding, it is as yet not basic in India at numerous focuses. This retrospective and prospective study were conducted for a time of 3 years to know the clinical result, decide the adequacy and assess the occurrence and reasons for pre- and post-surgical intricacies in patients going through miniature vascular free flap recreation after head and neck onco-surgical procedure method. It was inferred that the free flaps were dependable in accomplishing effective reproduction of the head and neck following an effective onco-surgical procedure methodology. Despite the fact that there is a critical loss of delicate tissue and bone however after an effective acknowledgment of free flap, close to ordinary anatomical and physiological capacities can be accomplished in larger part of the patients. The frequency of complexities was straightforwardly related to the co-morbidity level and specialist's working experience.

Keywords: Free flaps; Microvascular; Oncosurgery; Reconstruction.

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Figures

Graph 1
Graph 1
Age wise distribution of cases
Graph 2
Graph 2
Distribution of gender
Graph 3
Graph 3
Distribution of gender according to percentage
Fig. 1
Fig. 1
Wound covered with the skin graft
Fig. 2
Fig. 2
Free radial artery forearm flaps being harvested
Fig. 3
Fig. 3
Surface markings over the forearm
Fig. 4
Fig. 4
Surface markings over the neck
Fig. 5
Fig. 5
Surgical procedure in progress
See this image and copyright information in PMC

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