Head and neck free flap survival when requiring interposition vein grafting: A multi-instiutional review

•To further study survival rates of head and neck free flap reconstructions requiring interposition vein grafts.•To identify any risk factor predicting free flap demise in this setting.•To study if soft tissue vs osteocutaneous free flaps have differing survival rates with interposition vein graftin...

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Bibliographic Details
Published in:Oral oncology 2020-02, Vol.101, p.104482-104482, Article 104482
Main Authors: Seim, Nolan B., Old, Matthew, Petrisor, Daniel, Thomas, William, Naik, Akash, Mowery, Alia J., Kang, Stephen, Li, Ryan, Wax, Mark K.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Free flap
Free Tissue Flaps - blood supply
Free Tissue Flaps - transplantation
Graft Survival
Head and Neck Neoplasms - surgery
Head and neck reconstruction
Humans
Interposition
Male
Middle Aged
Plastic Surgery Procedures - adverse effects
Plastic Surgery Procedures - methods
Postoperative Complications
Survival
Treatment Outcome
Vein graft
Veins - transplantation
Young Adult
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Summary:•To further study survival rates of head and neck free flap reconstructions requiring interposition vein grafts.•To identify any risk factor predicting free flap demise in this setting.•To study if soft tissue vs osteocutaneous free flaps have differing survival rates with interposition vein grafting. Interposition vein grafting in free flap reconstruction is often viewed as a risky procedure, but is necessary in cases of inadequate pedicle length. Two tertiary care centers retrospectively.reviewed 3008 head and neck free flap reconstructions from 2008 to 2017 91 patients were identified requiring interposition vein grafting during reconstruction. Pre and perioperative characteristics were recorded Univariate and multivariate analyses were conducted with a p value
ISSN:1368-8375
1879-0593
DOI:10.1016/j.oraloncology.2019.104482