BOOK
Free Tissue Transfer to Head and Neck: Lessons Learned from Unfavorable Results, An Issue of Clinics in Plastic Surgery, E-Book
Fu-Chan Wei | Nidal Farhan AL Deek
(2016)
Additional Information
Book Details
Abstract
This issue of Clinics in Plastic Surgery, edited by Drs. Fu-Chan Wei and Nidal Farhan Al Deek, is devoted to Free Tissue Transfer to Head and Neck: Lessons Learned from Unfavorable Results. Articles in this issue include: The Triangle of Failure: Failure in Planning, Selection, and Execution; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Chang Gung Experience; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: M.D Anderson Cancer Center Perspective; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Point of View; Insights from Mexico on the Unfavorable Results after Free Tissue Transfer to Head and Neck; “A Word” from University of Toronto on the Unfavorable Results after Free Tissue Transfer to Head and Neck; Mount Sinai Medical Center and their Experience with Unfavorable Microsurgical Head and Neck Reconstruction; Mayo Clinic Experience with Unfavorable Results after Free Tissue Transfer to Head and Neck; University of Washington at Seattle and the Unfavorable Results after Free Tissue Transfer to Head and Neck; Henri Mondor Experience with Unfavorable Microsurgical Head and Neck Reconstruction; Liverpool Opinion on Unfavorable Microsurgical Head and Neck Reconstruction: Lessons Learned; The Osteoradionecrosis as Untoward Outcomes Following Successful Free Tissue Transfer to Head and Neck; Trismus as Untoward Outcomes after Successful Free Tissue Transfer to Head and Neck; and Oro- and –Naso- Cutaneous Fistulae as Untoward Outcomes after Successful Free Tissue Transfer to Head Neck.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Free Tissue Transferto Head and Neck:Lessons Learned fromUnfavorable Results | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: The Unfavorable Outcome: Here We Conquer\r | vii | ||
| The Triangle of Unfavorable Outcomes After Microsurgical Head and Neck Reconstruction: Planning, Design, and Execution\r | vii | ||
| Free Tissue Transfer to Head and Neck: Lessons Learned from Unfavorable Results—Experience per Subsite\r | vii | ||
| Mount Sinai Medical Center and Their Experience with Unfavorable Microsurgical Head and Neck Reconstruction\r | vii | ||
| Unfavorable Results After Free Tissue Transfer to Head and Neck: Lessons Based on Experience from the University of Toronto\r | vii | ||
| Management of Unfavorable Outcomes in Head and Neck Free Flap Reconstruction: Experience-Based Lessons from the MD Anderson\r | viii | ||
| Mayo Clinic Experience with Unfavorable Results After Free Tissue Transfer to Head and Neck\r | viii | ||
| Unfavorable Results After Free Tissue Transfer to Head and Neck: Lessons Learned at the University of Washington\r | viii | ||
| Henri Mondor Experience with Microsurgical Head and Neck Reconstruction Failure\r | viii | ||
| Liverpool Opinion on Unfavorable Results in Microsurgical Head and Neck Reconstruction: Lessons Learned\r | ix | ||
| Lessons Learned from Delayed Versus Immediate Microsurgical Reconstruction of Complex Maxillectomy and Midfacial Defects:\r | ix | ||
| Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Hospital and Okay\r | ix | ||
| Fistulae After Successful Free Tissue Transfer to Head and Neck: Its Prevention and Treatment\r | ix | ||
| Trismus Secondary Release Surgery and Microsurgical Free Flap Reconstruction After Surgical Treatment of Head and Neck Canc\r | x | ||
| The Osteosarcoradionecrosis as an Unfavorable Result Following Head and Neck Tumor Ablation and Microsurgical Reconstruction\r | x | ||
| CLINICS IN PLASTIC SURGERY | xi | ||
| FORTHCOMING ISSUES | xi | ||
| January 2017 | xi | ||
| April 2017 | xi | ||
| July 2017 | xi | ||
| RECENT ISSUES | xi | ||
| July 2016 | xi | ||
| April 2016 | xi | ||
| January 2016 | xi | ||
| Preface:\rThe Unfavorable Outcome: Here We Conquer | xiii | ||
| The Triangle of Unfavorable Outcomes After Microsurgical Head and Neck Reconstruction | 615 | ||
| Key points | 615 | ||
| INTRODUCTION | 615 | ||
| THE TRIANGLE OF UNFAVORABLE OUTCOMES | 616 | ||
| Defective Planning and Decision Making | 616 | ||
| Definition | 616 | ||
| Should it be a 1-stage total reconstruction or staged reconstruction? | 616 | ||
| What are the priority goals of reconstruction, and how can he chosen flap(s) be used to fulfill these goals? | 616 | ||
| Case 1: defective planning | 617 | ||
| Inapt Design | 617 | ||
| Definition | 617 | ||
| Case 2: inapt design | 618 | ||
| Erroneous Execution Definition | 618 | ||
| Case 3: good execution | 619 | ||
| Case 4: poor execution | 619 | ||
| THE AUTHORS’ MODEL TO MINIMIZE THE LIKELIHOOD OF UNFAVORABLE RECONSTRUCTION | 619 | ||
| REFERENCES | 620 | ||
| Free Tissue Transfer to Head and Neck | 621 | ||
| Key points | 621 | ||
| INTRODUCTION | 621 | ||
| UNFAVORABLE RESULTS AFTER MICROSURGICAL RECONSTRUCTION OF TONGUE AND MOUTH FLOOR DEFECTS | 622 | ||
| Mount Sinai Medical Center and Their Experience with Unfavorable Microsurgical Head and Neck Reconstruction | 631 | ||
| Key points | 631 | ||
| RADIATION EFFECTS | 632 | ||
| SURGICAL SALVAGE | 632 | ||
| TIMING OF RECONSTRUCTION | 632 | ||
| VESSEL SELECTION | 633 | ||
| FLAP SELECTION | 634 | ||
| LARYNGOPHARYNGEAL AND ESOPHAGEAL RECONSTRUCTION | 634 | ||
| DEAD SPACE | 635 | ||
| WOUND COMPLICATIONS | 636 | ||
| PLAN B | 636 | ||
| SUMMARY | 637 | ||
| REFERENCES | 637 | ||
| Unfavorable Results After Free Tissue Transfer to Head and Neck | 639 | ||
| Key points | 639 | ||
| INTRODUCTION | 639 | ||
| UNFAVORABLE RESULTS IN ORAL CAVITY RECONSTRUCTION | 640 | ||
| Floor of Mouth | 640 | ||
| Tongue | 640 | ||
| Palate | 641 | ||
| UNFAVORABLE RESULTS IN MANDIBLE RECONSTRUCTION | 642 | ||
| UNFAVORABLE RESULTS IN MAXILLA RECONSTRUCTION | 644 | ||
| UNFAVORABLE RESULTS IN FACIAL RECONSTRUCTION | 645 | ||
| Forehead and Scalp | 646 | ||
| Nose | 646 | ||
| Perioral Area and Lips | 646 | ||
| Periorbital Area | 647 | ||
| UNFAVORABLE RESULTS IN SKULL BASE RECONSTRUCTION | 647 | ||
| SECOND FREE TISSUE TRANSFER IN HEAD AND NECK RECONSTRUCTION | 650 | ||
| SUMMARY | 650 | ||
| REFERENCES | 650 | ||
| Management of Unfavorable Outcomes in Head and Neck Free Flap Reconstruction | 653 | ||
| Key points | 653 | ||
| INTRODUCTION | 653 | ||
| DEFECT-SPECIFIC RECONSTRUCTION | 654 | ||
| MANAGEMENT OF MICROVASCULAR COMPLICATIONS | 655 | ||
| CASE REPORTS OF UNFAVORABLE OUTCOMES | 655 | ||
| Case 1 | 655 | ||
| Case 2 | 657 | ||
| Case 3 | 658 | ||
| Case 4 | 659 | ||
| Case 5 | 659 | ||
| SECONDARY FREE FLAP RECONSTRUCTION | 660 | ||
| MANAGEMENT OF UNFAVORABLE POSTOPERATIVE COMPLICATIONS | 663 | ||
| MANAGEMENT OF FISTULA | 663 | ||
| MANAGEMENT OF STRICTURES | 664 | ||
| MANAGEMENT OF OSTEORADIONECROSIS | 664 | ||
| DONOR SITE COMPLICATIONS | 664 | ||
| DISCUSSION | 666 | ||
| SUMMARY | 666 | ||
| REFERENCES | 666 | ||
| Mayo Clinic Experience with Unfavorable Results After Free Tissue Transfer to Head and Neck | 669 | ||
| Key points | 669 | ||
| INTRODUCTION | 669 | ||
| SALVAGING FREE FLAPS | 670 | ||
| RADIOTHERAPY CONSIDERATIONS | 670 | ||
| MICROVASCULAR ARTERIAL PEDICLE RUPTURE | 672 | ||
| THE VESSEL-DEPLETED NECK | 673 | ||
| RECONSTRUCTIVE CHALLENGES | 674 | ||
| RECONSTRUCTION OF THE ANTERIOR MANDIBULAR ARCH | 674 | ||
| MANDIBLE RECONSTRUCTION AND OSSEOINTEGRATED IMPLANTS | 675 | ||
| TRISMUS | 677 | ||
| HAIR-BEARING FLAPS | 677 | ||
| PHARYNGOESOPHAGEAL RECONSTRUCTION | 678 | ||
| TOTAL GLOSSECTOMY RECONSTRUCTION | 679 | ||
| SUBMENTAL FLAP: IDEAL COLOR MATCH FOR FACIAL RECONSTRUCTION | 681 | ||
| REFERENCES | 681 | ||
| Unfavorable Results After Free Tissue Transfer to Head and Neck | 683 | ||
| Key points | 683 | ||
| INTRODUCTION | 683 | ||
| POSTOPERATIVE MANAGEMENT: MINIMIZING THE MORBIDITY OF HEAD AND NECK FREE FLAP SURGERY | 684 | ||
| Development of a Clinical Care Pathway | 684 | ||
| Overnight Intubation Versus Tracheostomy | 684 | ||
| Postoperative Infections | 685 | ||
| Postoperative Free Flap Monitoring | 686 | ||
| LESSON LEARNED FROM RECONSTRUCTION OF THE TOTAL GLOSSECTOMY DEFECT | 687 | ||
| Patient Presentation: Reconstruction of the Total Glossectomy Defect | 688 | ||
| LESSONS LEARNED IN TOTAL LARYNGOPHARYNGECTOMY RECONSTRUCTION | 689 | ||
| Surgical Tenets for Jejunal Free Flap Reconstruction | 690 | ||
| Patient Presentation: Reconstruction of the Total Cervical Esophagectomy Defect | 690 | ||
| SUMMARY | 692 | ||
| REFERENCES | 692 | ||
| Henri Mondor Experience with Microsurgical Head and Neck Reconstruction Failure | 695 | ||
| Key points | 695 | ||
| INTRODUCTION | 695 | ||
| STANDARD PRACTICE | 696 | ||
| WHAT IS A FREE FLAP RECONSTRUCTION FAILURE? | 696 | ||
| HOW IS HEAD AND NECK RECONSTRUCTION FAILURE MANAGED DESPITE A FREE FLAP SUCCESS? | 696 | ||
| WHAT ARE THE ANATOMIC AND FUNCTIONAL STRUCTURES THAT SHOULD BE RESTORED? | 696 | ||
| HIGHLIGHT OF 2 UNFAVORABLE OUTCOMES UNRELATED TO FLAP NECROSIS AND HOW TO MANAGE THEM | 699 | ||
| Case 1 | 699 | ||
| Case 2 | 700 | ||
| HOW CAN THE RELIABILITY OF OSTEOCUTANEOUS FREE FLAP RECONSTRUCTION BE ENHANCED? | 701 | ||
| IN CASE OF NEED FOR A NEW FREE FLAP, HOW SHOULD THE RECIPIENT VASCULAR SITE BE EVALUATED? | 703 | ||
| WHICH FLAP SHOULD BE SELECTED? | 704 | ||
| HOW TO PROCEED WHEN THE TISSUE DEFECTS ARE TOO EXTENSIVE AND SEVERAL TISSUE TRANSFERS ARE NECESSARY? MULTITISSULAR ALLOGRAFT | 705 | ||
| SUMMARY | 705 | ||
| REFERENCES | 706 | ||
| Liverpool Opinion on Unfavorable Results in Microsurgical Head and Neck Reconstruction | 707 | ||
| Key points | 707 | ||
| INTRODUCTION | 708 | ||
| COMMENT ON NONMICROVASCULAR RECONSTRUCTION FOR THE PATIENT WITH HEAD AND NECK CANCER | 708 | ||
| AVOIDING POOR RESULTS AFTER SUCCESSFUL FREE FLAP TRANSFER FOR SOFT TISSUE RECONSTRUCTION OF THE ORAL CAVITY AND OROPHARYNX | 709 | ||
| Oral Cavity | 709 | ||
| Oropharynx | 710 | ||
| AVOIDING POOR RESULTS AFTER SUCCESSFUL FLAP TRANSFER FOR MANDIBULAR RECONSTRUCTION | 710 | ||
| AVOIDING POOR RESULTS AFTER SUCCESSFUL FLAP TRANSFER FOR RECONSTRUCTION OF THE MAXILLA AND MIDFACE | 714 | ||
| CLASS I (LOW-LEVEL MAXILLECTOMY NOT INVOLVING MAXILLARY SINUS) | 714 | ||
| CLASS II (LOW-LEVEL MAXILLECTOMY NOT INVOLVING THE ORBITAL OR NASAL BONES) | 714 | ||
| CLASS III (HIGH-LEVEL MAXILLECTOMY RETAINING THE ORBIT) | 714 | ||
| CLASS IV (HIGH-LEVEL MAXILLECTOMY AND ORBIT) | 714 | ||
| CLASS V (ORBITOMAXILLARY) | 716 | ||
| CLASS VI (NASOMAXILLARY) | 716 | ||
| SUMMARY | 717 | ||
| REFERENCES | 717 | ||
| Lessons Learned from Delayed Versus Immediate Microsurgical Reconstruction of Complex Maxillectomy and Midfacial Defects | 719 | ||
| Key points | 719 | ||
| INTRODUCTION | 719 | ||
| METHODS | 720 | ||
| RESULTS | 720 | ||
| Functional and Aesthetic Outcomes | 721 | ||
| DISCUSSION | 722 | ||
| SUMMARY | 726 | ||
| REFERENCES | 726 | ||
| Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction | 729 | ||
| Key points | 729 | ||
| SURGICAL SITE INFECTION IN HEAD AND NECK RECONSTRUCTION | 729 | ||
| RETROSPECTIVE STUDIES CONCERNING WOUND COMPLICATIONS IN MICROVASCULAR TONGUE RECONSTRUCTION | 730 | ||
| EFFECT OF WOUND IRRADIATION ON SURGICAL SITE INFECTION | 731 | ||
| STRATEGIES TO AVOID UNFAVORABLE RESULTS | 734 | ||
| Checking Blood Circulation in Transferred Flaps and Residual Tissues | 734 | ||
| Gentle Treatment and Suturing of the Wound | 734 | ||
| Management of the Dead Space | 734 | ||
| Selection of Recipient Vessels for Free Flap Transfer | 734 | ||
| Careful Wound Check After Surgery | 736 | ||
| Selection of the Appropriate Method for Salvaging Unfavorable Results | 736 | ||
| SUMMARY | 736 | ||
| REFERENCES | 736 | ||
| Fistulae After Successful Free Tissue Transfer to Head and Neck | 739 | ||
| Key points | 739 | ||
| INTRODUCTION | 739 | ||
| POOR PLANNING, IN VARIOUS DEFECTS | 739 | ||
| INAPT DESIGN | 740 | ||
| CASE STUDY | 741 | ||
| ERRONEOUS EXECUTION OF THE RECONSTRUCTION | 741 | ||
| Reconstruction Plate with Vascularized Bone | 742 | ||
| Reconstruction Plate and Soft Tissue Flap | 743 | ||
| A SIMPLIFIED APPROACH TO OROCUTANEOUS AND ORONASOCUTANEOUS FISTULA | 743 | ||
| CASE STUDY (2) | 744 | ||
| SUMMARY | 745 | ||
| REFERENCES | 745 | ||
| Trismus Secondary Release Surgery and Microsurgical Free Flap Reconstruction After Surgical Treatment of Head and Neck Cancer | 747 | ||
| Key points | 747 | ||
| INTRODUCTION | 747 | ||
| PATIENT SELECTION AND PITFALLS | 748 | ||
| SURGICAL RELEASE OF TRISMUS AND ITS PITFALLS | 748 | ||
| RECONSTRUCTION TECHNIQUES AND THEIR PITFALLS | 748 | ||
| The Donor Site of Choice | 748 | ||
| Alternative Donor Sites | 749 | ||
| POSTOPERATIVE FOLLOW-UP AND REHABILITATION | 751 | ||
| SUMMARY | 751 | ||
| REFERENCES | 751 | ||
| The Osteosarcoradionecrosis as an Unfavorable Result Following Head and Neck Tumor Ablation and Microsurgical Reconstruction | 753 | ||
| Key points | 753 | ||
| INTRODUCTION | 753 | ||
| OSTEOSARCORADIONECROSIS | 754 | ||
| REFINED TREATMENT PLAN BASED ON THE 2-PHASE CLASSIFICATION | 755 | ||
| AN EYE OPENER ON THE POSSIBLE ROLE OF RECONSTRUCTION AND ABLATION IN OSTEOSARCORADIONECROSIS OF THE MANDIBLE | 755 | ||
| SUMMARY | 758 | ||
| REFERENCES | 758 | ||
| Index | 761 |