Clinical analysis of microsurgical anterolateral thigh free flap for head and neck region reconstruction / 临床耳鼻咽喉头颈外科杂志

ABSTRACT

OBJECTIVE@#To summarize the experience of improving survival rate of microsurgical free flap transfers for head and neck reconstruction.@*METHOD@#One hundred and seventy-nine consecutive microsurgical free flap transfers performed in patients with head and neck region defects after surgical procedure due to carcinoma were reviewed. The microsurgical free flap survival rate and postoperative complication were evaluated.@*RESULT@#The overall success rate of flap was 98.9%. The overall complication rate was 7.8%. The flap crisis rate was postoperative flap crisis incidence rate was 4.4%. The success rate of immediate surgical exploration within 6 hours successfully rescued the flap in were 6 six cases, and the other else two cases cut died flap and repaired the region defect in the head and neck with pectoralis major myocutaneous flap.@*CONCLUSION@#Key factors in improving the succeess rate are to guarantee vascular anastomosis patency, to achieve a good haemostasis, and to promptly closely observe discover blood vessel flap crisis after operation in the first 6 hours and immediate surgical exploration.