Recipient vessels for free flaps in advanced facial oncologic defects

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art_SOUSA_Recipient_vessels_for_free_flaps_in_advanced_facial_2023.PDF (2.08 MB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ASSOC BRASILEIRA OTORRINOLARINGOLOGIA & CIRURGIA CERVICOFACIAL
Autores
SOUSA, Bruno Albuquerque
DIAS, Fernando Luiz
SOUSA, Marcus A. Acioly de
PINTO, Marco Antonio
SILVA, Jessica Marquet
Citação
BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, v.89, n.4, article ID 101271, 8p, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives: To prospectively compare the results of microvascular flap reconstruction of mid-face and scalp advanced oncologic defects using superficial temporal versus cervical as recipient vessels. Methods: This is a parallel group clinical trial with 1:1 allocation ratio of patients who under-went midface and scalp oncologic reconstruction with free tissue flap from April 2018 to April 2022 in a tertiary oncologic center. Two groups were analyzed: those in whom superficial tem-poral vessels were used as the recipient vessels (Group A) and those in whom cervical vessels were used as the recipient vessels (Group B). Patient gender and age, cause and localization of the defect, flap choice for reconstruction, recipient vessels, intraoperative outcome, postop-erative course, and complications were recorded and analyzed. A Fisher's exact test was used to compare outcomes between the 2 groups.Results: On the basis of the different recipient vessels, 32 patients were randomized into 2 groups, and of these 27 patients completed the study: Group A with superficial temporal recipi-ent vessels (n = 12) and Group B with cervical recipient vessels (n = 15). There were 18 male and 09 female patients with an average age of 53.92 & PLUSMN; 17.49 years. The overall flap survival rate was 88.89%. The overall complication rate for vascular anastomosis was 14.81%. The total flap loss rate in patients with superficial temporal recipient vessels was higher than the complication rate in those with cervical recipient vessels but with no statistical significance (16.67% vs. 6.66%, p = 0.569). Minor complications occurred in 05 patients without statistical significance between the groups (p = 0.342).Conclusion: In the group with superficial temporal recipient vessels, the postoperative rate of free flap complications was similar than the cervical recipient vessel group. Therefore the use of superficial temporal recipient vessels for midface and scalp oncologic reconstruction could be a reliable option.& COPY; 2023 Associacao Brasileira de Otorrinolaringologia e Cirurgia C & PRIME;ervico-Facial.
Palavras-chave
Free tissue flaps, Head neck cancer, Microanastomosis, Superficial temporal vessels, Cervical vessels
URI
https://observatorio.fm.usp.br/handle/OPI/54533
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - LIM/28
Artigos e Materiais de Revistas Científicas - ODS/03