Fistulae After Successful Free Tissue Transfer to Head and Neck: Its Prevention and Treatment

Nidal Farhan AL Deek, Fu Chan Wei*, Chung Kan Tsao

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations

Abstract

Fistulas, either between oral cavity and external face or between oral and nasal cavity, are major complications after microsurgical head and neck reconstruction. Any flaw in surgical planning, design, and execution may lead to this untoward outcome. Once fistula develops, it may interface with oncologic treatment, endanger the reconstruction, and increase overall patient suffering. This article analyzes individual factors involved in development of fistulas in spite of successful transfer of a free flap and proposes treatment guideline.

Original languageEnglish
Pages (from-to)739-745
Number of pages7
JournalClinics in Plastic Surgery
Volume43
Issue number4
DOIs
StatePublished - 01 10 2016

Bibliographical note

Publisher Copyright:
© 2016 Elsevier Inc.

Keywords

  • Cancer
  • Fistulas
  • Free flap
  • Microsurgical head and neck reconstruction
  • Radiotherapy

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