Clinical Study
Factors Predicting Total Free Flap Loss after Microsurgical Reconstruction Following the Radical Ablation of Head and Neck Cancers
Table 2
Characteristics of patients who developed total free flap failure.
| | Sex | Age | Original disease | Primary surgery | Presurgical radiation (Gy) | Presurgical chemotherapy | Salvage surgery |
| 1 | F | 68 | Hypopharyngeal cancer (SCC ) pT2N1M0 | Partial hypopharyngectomy Neck resection Free forearm flap transfer | 100 | TXT 360 mg | Free jejunum flap transfer | 2 | M | 76 | Recurrent laryngeal cancer (SCC) pT4N2M0 | Partial oral base resection, Neck resection Free RAMC flap transfer | 65 | — | PMMC flap | 3 | F | 68 | Recurrent hypopharyngeal cancer (SCC) pT2N1M0 | Hypopharyngectomy Neck resection Free jejunum flap transfer | 66 | TXT 360 mg | Free jejunum flap transfer | 4 | M | 57 | Nesopharyngeal cancer (SCC) pT3N2bM0 | TPLE, Neck resection Free ALT flap transfer | 65 | CDDP 100 mg, 5Fu 500 mg | PMMC flap | 5 | F | 26 | Maxillary sarcoma pT3N2bM0 | Radical maxillary resection, Free scapular and LD MC flap transfer | 65 | CDDP 500 mg, TXT 300 mg | Free ALT flap | 6 | F | 50 | Olfactory neuroblastoma pT3N2bM0 | Radical maxillary and skull base resection, Orbitotomy Free RAMC flap transfer | — | — | Free ALT flap |
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SCC: squamous cell carcinoma. LD MC flap: latissimus dorsi musclocutaneous flap. PMMC flap: pectoralis major musclocutaneous flap. TLPE: total laryngopharyngoesophagectomy. NR: neck resection. RAMC flap: rectus abdominal musclocutaneous flap. ALT flap: anterolateral thigh flap. CDDP: Cisplatin. TXT: docetaxel.
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