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Clinical Study

Free Microsurgical and Pedicled Flaps for Oncological Mandibular Reconstruction: Technical Aspects and Evaluation of Patient Comorbidities

Table 1

Pedicled and free flap reconstruction patient groups. PMMF: Pectoralis major myocutaneous flap; SCCA: squamous cell carcinoma; ESRD: end-stage renal disease; HL: hyperlipidemia; HD: hemodialysis; HTN: hypertension; DM: diabetes mellitus; COPD: chronic obstructive pulmonary disease; AS: aortic stenosis; HCC: hepatocellular carcinoma; CHF: congestive heart failure; CAD: coronary artery disease; XRT: radiotherapy; VRAM: vertical rectus abdominus myocutaneous flap.
Age (yrs) Gender Procedure Tumor type (pathological stage) Radiation (Adj/Neo-adj) Tobacco use (Yes/No) Comorbidities (Complications/Treatment)
(1)55MPedicled PMMFSCCA (T4aN2bM0)ANoESRD on HD (failed renal transplant), DM, HTN, HL
(2)57FPedicled PMMFSCCA (T4bN0Mo)AYesDM, hypercholesterolemia, Cocaine abuse
(3)60MPedicled PMMFSCCA (T4aN0M0)AYesDM, COPD, AS
(4)47MPedicled PMMFSCCA (T4N0M0)ANoDM, HCC, HL
(5) 56 F Free fibula osteocutaneous flap Mucoepidermoid carcinoma (T4aN0M0) A No None (Skin radionecrosis from XRT; pedicled supraclavicular flap)
(6)24MFree fibula osteocutaneous flapAmeloblastomaN/AQuit 6 wks prior to surgeryNone
(7)19FFree fibula osteocutaneous flapSCCA (T4aN2b,M0)ANoNone
(8)64MFree fibula osteocutaneous flapSCCA (T4a,N0M0)AQuit 8 yrs prior to surgeryDM, CHF, HTN
(9)62MFree fibula osteocutaneous flapSCCA (T4aN0M0)ANorenal transplant, HTN, stable CAD, HL
(10)60FFree fibula osteocutaneous flapSCCA (T4aN2bM0)ANoHTN, hypothyroidism, HL
(11)73FFree fibula osteocutaneous flapSCCA (T4N0M0) Osteoradionecrosis (XRT)NYesDM, HTN. (Native skin necrosis due to perioperative active smoking, h/o XRT; pedicled PMMF)
(12)47MFree VRAM flapSCCA (T4aN2bM0)AQuit 4 wks prior to surgeryNone