0 234

Cited 2 times in

A Study Comparing Free-Flap Reconstruction via the Retroauricular Approach and the Traditional Transcervical Approach for Head and Neck Cancer: A Matched Case-Control Study

 Won Shik Kim  ;  Jae Hong Park  ;  Hyung Kwon Byeon  ;  Jae Won Chang  ;  Myung Jin Ban  ;  Yoon Woo Koh  ;  Eun Chang Choi 
 ANNALS OF SURGICAL ONCOLOGY, Vol.22(Suppl 3) : S349-S354, 2015 
Journal Title
Issue Date
Adult ; Aged ; Case-Control Studies ; Female ; Follow-Up Studies ; Free Tissue Flaps* ; Head and Neck Neoplasms/pathology ; Head and Neck Neoplasms/surgery* ; Humans ; Male ; Middle Aged ; Neck Dissection/instrumentation ; Neck Dissection/methods* ; Neoplasm Staging ; Prognosis ; Reconstructive Surgical Procedures/methods* ; Surgical Flaps*
Neck Cancer ; Neck Dissection ; Total Operation Time ; Superior Thyroid Artery ; Flap Failure
BACKGROUND: Free-flap reconstruction via a retroauricular approach (RRA) after robot-assisted neck dissection (RAND) could have cosmetic benefits. This study aimed to compare the surgical outcomes of free-flap reconstruction via a RRA and via a transcervical approach in head and neck cancer. METHODS: For this matched case-control study, 50 patients with head and neck cancer requiring free-flap reconstruction were divided into two groups: those reconstructed via a RRA group and those reconstructed via a transcervical approach (RTA group). The total operation time for free-flap reconstruction, the flap survival rate, the length of the hospital stay, the complications, and the scar satisfaction scores were compared between the two groups. RESULTS: The RRA group comprised 25 patients, and the RTA group had 25 patients. The mean operation time for reconstruction was 288 ± 77 min in the RRA group and 250 ± 98 min in the RTA group (p = 0.132). Flap failure occurred for two patients in the RRA group (8 %) and for one patient in the RTA group (4 %) (p = 1.000). The mean hospital stay was 21 ± 18 days in the RRA group and 23 ± 14 days in the RTA group (p = 0.669). The complications were comparable between the two groups. However, the overall scar satisfaction was significantly higher in the RRA group (p = 0.000). CONCLUSIONS: For patients with head and neck cancer, RRA has better cosmetic outcomes than RTA. The RRA approach could be used for select patients who undergo RAND and prefer to avoid a visible anterior neck scar.
Full Text
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Won Shik(김원식)
Byeon, Hyung Kwon(변형권)
Choi, Eun Chang(최은창)
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.