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Conservative Managements of Failed Free Flap Reconstruction in Head and Neck Cancer : Reports of 2 Cases and Literature Reviews

Year: 2010
Type: article
Study design: Case Report
Abstract: Since the introduction of microvascular surgery, free flap reconstruction has become an integral part of the management of head and neck cancer. Although microvascular skills and instruments have improved, failure of free flap reconstruction is inevitable and frequently leads to devastating results. Most of failed cases are caused by vascular thrombosis that is usually treated by either medical therapy or salvage reconstruction. When patient cannot run the risk of additional surgery, salvage reconstruction is not feasible. Conservative treatment after failure of free flap reconstruction would be another option in carefully selected cases. Conservative care contains medical management, watchful observation for fistula formation and frequent dressing. We reports two cases of patients who were treated with conservative management after failure of free flap reconstruction and reviewed literatures. (J Clinical Otolaryngol 2010;21:283-287)
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W2955763642
FWCI:
Cites: 15
Cited by: 1
Related to: 10