Yıl: 2021 Cilt: 22 Sayı: 1 Sayfa Aralığı: 8 - 12 Metin Dili: İngilizce DOI: 10.4274/imj.galenos.2020.62444 İndeks Tarihi: 29-07-2022

Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region

Öz:
Introduction: In this retrospective study, the indications and success, complication and mortality rates of local and regional flaps used in head and neck reconstruction were investigated. Methods: Patients operated for head and neck reconstructionbetween the years 2014 and 2019 were included in this retrospective study. Results: A total of 41 patients were included in the study. The mean patient age was 60.3±20.6 (range: 8-89). In 39.0% (n=16) of patients, the pectoralis major muscle flap was used for reconstruction. In 17.1% (n=7) of patients, the local advancement flap was used. In all, 29% (n=12) of patients had squamous cell carcinoma, 19.5% (n=8) had basal cellcarcinoma, and 14.6% (n=6) of patients had tracheoesophageal fistula. The overall complication rate was 29.2%. The mortality rate was 2.4% (n=1). Conclusion: In this retrospective study, it was objectively demonstrated that local regional pedicle flaps can be used safely in the repair of head and neck defects with correct patient analysis, wound site and defect evaluation, and flap planning
Anahtar Kelime:

Baş ve Boyunda Cerrahi Sonrası Oluşan Defektlerin Onarımında Lokal ve Rejyonel Fleplerin Kullanımı

Öz:
Amaç: Bu retrospektif çalışmada baş ve boyun cerrahisinde kullanılan lokal ve rejyonel fleplerin endikasyonları, başarı komplikasyon ve mortalite oranları incelendi. Yöntemler: Çalışma retrospektif olarak planlandı. Bu çalışmaya baş ve boyun rekonstrüksiyonu amacıyla 2014 ve 2019 yılları arasında kliniğimizde lokal ve rejyonel opere edilen hastalar dahil edildi. Bulgular: Kırk-bir hasta çalışmaya dahil edildi. Ortalama hasta yaşı 60,3±20,6 (aralık: 8-89) idi. Hastaların %39’unda (n=16) pektoral majör kas flebi, %17’sinde (n=12) lokal ilerletme flebi kullanıldı. Etiyoloji hastaların %29’unda (n=12) sküamöz hücreli karsinom, %19,5’inde (n=8) bazal hücreli karsinom ve %14,6’sında (n=6) trakeaözofageal fistül idi. Genel komplikasyon oranı %29,2 olarak hesaplandı. Mortalite oranı %2,4 (n=1) idi. Sonuç: Bu retrospektif çalışmada lokal rejyonel pediküllü fleplerin doğru hasta, yara ve defekt analizi ve uygun planlama ile baş ve boyun defektlerinde güvenli bir şekilde ve yüksek başarı oranı ile kullanılabileceği objektif verilere dayanarak gösterilmektedir
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Altinel D, Toplu G (2021). Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. , 8 - 12. 10.4274/imj.galenos.2020.62444
Chicago Altinel Dincer,Toplu Gaye Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. (2021): 8 - 12. 10.4274/imj.galenos.2020.62444
MLA Altinel Dincer,Toplu Gaye Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. , 2021, ss.8 - 12. 10.4274/imj.galenos.2020.62444
AMA Altinel D,Toplu G Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. . 2021; 8 - 12. 10.4274/imj.galenos.2020.62444
Vancouver Altinel D,Toplu G Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. . 2021; 8 - 12. 10.4274/imj.galenos.2020.62444
IEEE Altinel D,Toplu G "Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region." , ss.8 - 12, 2021. 10.4274/imj.galenos.2020.62444
ISNAD Altinel, Dincer - Toplu, Gaye. "Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region". (2021), 8-12. https://doi.org/10.4274/imj.galenos.2020.62444
APA Altinel D, Toplu G (2021). Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. İstanbul Medical Journal, 22(1), 8 - 12. 10.4274/imj.galenos.2020.62444
Chicago Altinel Dincer,Toplu Gaye Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. İstanbul Medical Journal 22, no.1 (2021): 8 - 12. 10.4274/imj.galenos.2020.62444
MLA Altinel Dincer,Toplu Gaye Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. İstanbul Medical Journal, vol.22, no.1, 2021, ss.8 - 12. 10.4274/imj.galenos.2020.62444
AMA Altinel D,Toplu G Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. İstanbul Medical Journal. 2021; 22(1): 8 - 12. 10.4274/imj.galenos.2020.62444
Vancouver Altinel D,Toplu G Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region. İstanbul Medical Journal. 2021; 22(1): 8 - 12. 10.4274/imj.galenos.2020.62444
IEEE Altinel D,Toplu G "Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region." İstanbul Medical Journal, 22, ss.8 - 12, 2021. 10.4274/imj.galenos.2020.62444
ISNAD Altinel, Dincer - Toplu, Gaye. "Local and Regional Flap Approaches for the Repair of Postsurgical Tissue Defects in the Head and Neck Region". İstanbul Medical Journal 22/1 (2021), 8-12. https://doi.org/10.4274/imj.galenos.2020.62444