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Anterolateral thigh free flaps and radial forearm free flaps in head and neck reconstruction: A 20-year analysis from a single institution

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dc.contributor.author노태석-
dc.contributor.author유대현-
dc.contributor.author윤인식-
dc.contributor.author이원재-
dc.contributor.author홍종원-
dc.date.accessioned2021-12-28T17:24:42Z-
dc.date.available2021-12-28T17:24:42Z-
dc.date.issued2021-01-
dc.identifier.issn2234-6163-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/187086-
dc.description.abstractBackground: Reconstruction after removal of a malignant tumor in the head and neck region is crucial for restoring tissue integrity, function, and aesthetics. We retrospectively analyzed patients who underwent intraoral reconstruction surgery using radial forearm free flaps (RFFF) and anterolateral thigh free flaps (ALT) at a single institution to provide more information supporting the choice of a reconstruction method after removal of head and neck cancer. Methods: The charts of 708 patients who underwent head and neck reconstruction between 1998 and 2018 at the Department of Plastic and Reconstructive Surgery at our institution were retrospectively reviewed. Patients' age, sex, and history of radiation therapy, diabetes mellitus, and smoking were retrieved. The primary cancer site, types of defects, and complications were investigated. Results: Overall, 473 and 95 patients underwent reconstruction surgery with RFFF and ALT, respectively. RFFF was more often used in patients with cancers of the pharynx, larynx, esophagus, or tonsil, while ALT was more frequently used in patients with cancers of the mouth floor with tonsil or tongue involvement. The proportion of patients undergoing ALT increased gradually. Flap failure and donor site morbidities did not show significant differences between the two groups. Conclusions: RFFF and ALT flaps resulted in similar outcomes in terms of flap survival and donor site morbidity. ALT can be an option for head and neck reconstruction surgery in patients with large and complex defects or for young patients who want to hide their donor site scars.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Society of Plastic and Reconstructive Surgeons-
dc.relation.isPartOfArchives of Plastic Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleAnterolateral thigh free flaps and radial forearm free flaps in head and neck reconstruction: A 20-year analysis from a single institution-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic and Reconstructive Surgery (성형외과학교실)-
dc.contributor.googleauthorSimon Yang-
dc.contributor.googleauthorJong Won Hong-
dc.contributor.googleauthorIn Sik Yoon-
dc.contributor.googleauthorDae Hyun Lew-
dc.contributor.googleauthorTai Suk Roh-
dc.contributor.googleauthorWon Jai Lee-
dc.identifier.doi10.5999/aps.2020.01529-
dc.contributor.localIdA01297-
dc.contributor.localIdA02459-
dc.contributor.localIdA02588-
dc.contributor.localIdA03005-
dc.contributor.localIdA04436-
dc.relation.journalcodeJ00231-
dc.identifier.eissn2234-6171-
dc.identifier.pmid33503744-
dc.subject.keywordHead and neck neoplasm-
dc.subject.keywordReconstructive surgical procedures-
dc.subject.keywordSurgical flaps-
dc.contributor.alternativeNameRoh, Tai Suk-
dc.contributor.affiliatedAuthor노태석-
dc.contributor.affiliatedAuthor유대현-
dc.contributor.affiliatedAuthor윤인식-
dc.contributor.affiliatedAuthor이원재-
dc.contributor.affiliatedAuthor홍종원-
dc.citation.volume48-
dc.citation.number1-
dc.citation.startPage49-
dc.citation.endPage54-
dc.identifier.bibliographicCitationArchives of Plastic Surgery, Vol.48(1) : 49-54, 2021-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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