Reconstruction of Head and Neck Cancer with Double Flaps: Comparison of Single and Double Recipient Vessels

Pao Yuan Lin, Yur Ren Kuo, Chih Yen Chien, Seng Feng Jeng*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

23 Scopus citations

Abstract

Patients with advanced head and neck cancers require reconstruction with a double free flap, but in some situations, it is extremely difficult to attain the ideal set of recipient vessels for these patients. The patients were divided into two groups: group 1 had one recipient vessel; group 2 had two recipient vessels. Fifty-five patients were enrolled between 2001 and 2005. Double flaps, including a fibula osteoseptocutaneous flap and an anterolateral thigh flap, were used for the reconstruction. In group 1, the second flap was anastomosed at the distal runoff of the fibular flap. Group 1 contained 39 patients and group 2 had 16 patients. No significant differences in the success rate, operating time, days of hospitalization, or complication rate were noted between groups 1 and 2. Thus using one recipient vessel is our first choice for double free-flap reconstruction for head and neck defects.

Original languageEnglish
Pages (from-to)191-196
Number of pages6
JournalJournal of Reconstructive Microsurgery
Volume25
Issue number3
DOIs
StatePublished - 04 2009

Keywords

  • Double free-flap reconstruction
  • Head and neck cancer
  • Single recipient vessel

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