Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001)

J. Brown, P. Magennis, S. Rogers, J. Cawood, R. Howell, E. Vaughan

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Microvascular reconstructive techniques in head and neck surgery are well established, but we are now entering an era of modification exemplified by perforator and free style free flaps. We present a review of the database introduced into the unit in 1992 over a 10-year period, during which time 977 patients with malignant disease were operated on and 620 defects were reconstructed with free flaps. There were 358 radial forearm flaps, 78 composite radial forearm flaps, 84 iliac crest flaps, 43 fibular flaps, 24 from the scapula, 26 from the latissimus dorsi, 4 from the rectus abdominis, and 3 from the lateral arm. The main changes over this time have been the use of more bulky flaps for larger resections of the tongue and the preference for iliac crest flaps over those from the fibula and forearm for composite reconstructions. Improving reliability of tissue transfer remains an important aim, and further development of reliable objective methods of monitoring of flaps is required.
Original languageEnglish
Pages (from-to)364-370
JournalBritish Journal of Oral and Maxillofacial Surgery
Volume44
Issue number5
DOIs
Publication statusPublished - 2006

Fingerprint

Reconstructive Surgical Procedures
Forearm
Neck
Free Tissue Flaps
Head
Scapula
Rectus Abdominis
Fibula
Superficial Back Muscles
Tongue
Arm
Databases

Cite this

Brown, J. ; Magennis, P. ; Rogers, S. ; Cawood, J. ; Howell, R. ; Vaughan, E. / Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001). In: British Journal of Oral and Maxillofacial Surgery. 2006 ; Vol. 44, No. 5. pp. 364-370.
@article{f1c44b3eab794c03845987bf7780e798,
title = "Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001)",
abstract = "Microvascular reconstructive techniques in head and neck surgery are well established, but we are now entering an era of modification exemplified by perforator and free style free flaps. We present a review of the database introduced into the unit in 1992 over a 10-year period, during which time 977 patients with malignant disease were operated on and 620 defects were reconstructed with free flaps. There were 358 radial forearm flaps, 78 composite radial forearm flaps, 84 iliac crest flaps, 43 fibular flaps, 24 from the scapula, 26 from the latissimus dorsi, 4 from the rectus abdominis, and 3 from the lateral arm. The main changes over this time have been the use of more bulky flaps for larger resections of the tongue and the preference for iliac crest flaps over those from the fibula and forearm for composite reconstructions. Improving reliability of tissue transfer remains an important aim, and further development of reliable objective methods of monitoring of flaps is required.",
author = "J. Brown and P. Magennis and S. Rogers and J. Cawood and R. Howell and E. Vaughan",
year = "2006",
doi = "10.1016/j.bjoms.2005.07.018",
language = "English",
volume = "44",
pages = "364--370",
journal = "British Journal of Oral and Maxillofacial Surgery",
issn = "0266-4356",
publisher = "Elsevier Business Intelligence",
number = "5",

}

Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001). / Brown, J.; Magennis, P.; Rogers, S.; Cawood, J.; Howell, R.; Vaughan, E.

In: British Journal of Oral and Maxillofacial Surgery, Vol. 44, No. 5, 2006, p. 364-370.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001)

AU - Brown, J.

AU - Magennis, P.

AU - Rogers, S.

AU - Cawood, J.

AU - Howell, R.

AU - Vaughan, E.

PY - 2006

Y1 - 2006

N2 - Microvascular reconstructive techniques in head and neck surgery are well established, but we are now entering an era of modification exemplified by perforator and free style free flaps. We present a review of the database introduced into the unit in 1992 over a 10-year period, during which time 977 patients with malignant disease were operated on and 620 defects were reconstructed with free flaps. There were 358 radial forearm flaps, 78 composite radial forearm flaps, 84 iliac crest flaps, 43 fibular flaps, 24 from the scapula, 26 from the latissimus dorsi, 4 from the rectus abdominis, and 3 from the lateral arm. The main changes over this time have been the use of more bulky flaps for larger resections of the tongue and the preference for iliac crest flaps over those from the fibula and forearm for composite reconstructions. Improving reliability of tissue transfer remains an important aim, and further development of reliable objective methods of monitoring of flaps is required.

AB - Microvascular reconstructive techniques in head and neck surgery are well established, but we are now entering an era of modification exemplified by perforator and free style free flaps. We present a review of the database introduced into the unit in 1992 over a 10-year period, during which time 977 patients with malignant disease were operated on and 620 defects were reconstructed with free flaps. There were 358 radial forearm flaps, 78 composite radial forearm flaps, 84 iliac crest flaps, 43 fibular flaps, 24 from the scapula, 26 from the latissimus dorsi, 4 from the rectus abdominis, and 3 from the lateral arm. The main changes over this time have been the use of more bulky flaps for larger resections of the tongue and the preference for iliac crest flaps over those from the fibula and forearm for composite reconstructions. Improving reliability of tissue transfer remains an important aim, and further development of reliable objective methods of monitoring of flaps is required.

U2 - 10.1016/j.bjoms.2005.07.018

DO - 10.1016/j.bjoms.2005.07.018

M3 - Article

VL - 44

SP - 364

EP - 370

JO - British Journal of Oral and Maxillofacial Surgery

JF - British Journal of Oral and Maxillofacial Surgery

SN - 0266-4356

IS - 5

ER -