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Avaliação Retrospetiva da Reconstrução Oncológica da Cabeça e Pescoço com 114 Retalhos Livres num Centro Oncológico Terciário Português

2022-03Artigo científico Acesso aberto
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dc.contributor.authorSilva, Andreia
dc.contributor.authorCaixeirinho, Patrícia
dc.contributor.authorVilares, Miguel
dc.contributor.authorSemedo, Carina
dc.contributor.authorMartins, Mariluz
dc.contributor.authorZagalo, Carlos
dc.contributor.authorCasal, Diogo
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblBiblioteca Nacional de Portugal, Centro de Estudos Históricos, CELOM
dc.date.accessioned2022-04-04T22:38:33Z
dc.date.available2022-04-04T22:38:33Z
dc.date.issued2022-03
dc.descriptionPublisher Copyright: Copyright © Ordem dos Médicos 2022
dc.description.abstractIntroduction: The Portuguese experience in microsurgical reconstruction of the head and neck after oncological surgery is scantly described. The primary aim of this study was to characterize the use of microvascular reconstruction after head and neck tumor resection in a Portuguese tertiary oncological center Material and Methods: The authors retrospectively evaluated 114 microvascular free flap procedures performed for head and neck reconstruction after oncological resection in a department of Head and Neck Surgery of a Portuguese tertiary oncological center. Patients were operated on from January 2012 to May 2018. Data on patient demographic features, tumour characteristics, perioperative complications, postoperative aesthetic and functional results, survival time and time to recurrence were extracted. Results: Most tumours mandating microsurgical reconstruction were mucosal squamous cell carcinomas (85%) and were located in the oral region (95.6%). Around 45% of the patients had a T4a tumour and 30% a T2 tumour. Cervical metastases were present in 45.6% of the cases. The radial forearm flap and the fibular flap were the most commonly used microsurgical reconstructive options (58% and 41%, respectively). More than 80% of patients had no post-operative complications. Partial necrosis of the flap occurred in 6.1% of patients, while total flap necrosis occurred in 3.5% of cases. Aesthetic and functional results were considered at least satisfactory in all patients in which the flaps survived. Conclusion: Microvascular reconstruction seems like a reliable treatment option in head and neck oncological surgery at our institution.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent9
dc.format.extent432469
dc.identifier.doi10.20344/amp.13734
dc.identifier.issn0870-399X
dc.identifier.otherPURE: 42586654
dc.identifier.otherPURE UUID: fe4dc5f5-a994-4065-9eba-ed22f9b3e202
dc.identifier.otherScopus: 85126464905
dc.identifier.otherPubMed: 34581666
dc.identifier.urihttp://hdl.handle.net/10362/135844
dc.identifier.urlhttps://www.scopus.com/pages/publications/85126464905
dc.language.isopor
dc.peerreviewedyes
dc.subjectFree Tissue Flaps
dc.subjectHead and Neck Neoplasms/surgery
dc.subjectPostoperative Complications
dc.subjectReconstructive Surgical Procedures
dc.subjectGeneral Medicine
dc.titleAvaliação Retrospetiva da Reconstrução Oncológica da Cabeça e Pescoço com 114 Retalhos Livres num Centro Oncológico Terciário Portuguêspt
dc.title.alternativeRetrospective Study of 114 Free Flaps for Head and Neck Oncological Reconstruction in a Portuguese Tertiary Cancer Centeren
dc.typejournal article
degois.publication.firstPage192
degois.publication.issue3
degois.publication.lastPage200
degois.publication.titleActa Médica Portuguesa
degois.publication.volume35
dspace.entity.typePublication
rcaap.rightsopenAccess

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