Alkari és fibula értengelyǔ szabadlebenyek alkalmazásával szerzett tapasztalataink a fej-nyaki régióban

Translated title of the contribution: Radial forearm and fibula free flap reconstruction after radical resection of head and neck malignancies

Fülöp Miklós, E. Remenár, Oberna Ferenc, Boér András, Iványi Emǒke, Pólus Károly, Kásler Miklós Károly

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The incidence of head and neck cancer has been rapidly increasing in Hungary during the last decade. Most of these tumors are discovered in advanced stage, consequently, surgical removal of the tumor results in large complex defects in the soft tisses and bone elements of the face and neck. For optimal anatomical and functional reconstruction we perform free flap transfer in increasing number of cases. Between December 1993 and March 2001 in the Head and Neck Surgery Department of the National Institute of Oncology the defects after resection of head and neck tumors were reconstructed with free flaps in 85 cases. Radial forearm flap in 64 cases, fibula osteoseptocutaneous flap in 14 cases were used. In 87% of the patients the postoperative period was uneventful, the surgical complications were not more numerous than following traditional reconstructions. The average duration of operations became shorter by 2.5 hours during the last two years than before. In most of the cases we achieved good functional and esthetic results. The quality of life of the patients was excellent in 14%, almost normal in 73% and bad with serious problems of social life in 13%. It is surprising that there was no significant difference between the survival of neck node positive and negative patients. In our practice the replacement of large defects in the head and neck region with free flaps is a reliable and useful method for reconstruction.

Original languageHungarian
Pages (from-to)177-180
Number of pages4
JournalMagyar Onkologia
Volume45
Issue number2
Publication statusPublished - 2001

Fingerprint

Fibula
Free Tissue Flaps
Forearm
Neck
Head
Neoplasms
Hungary
Social Problems
Head and Neck Neoplasms
Esthetics
Postoperative Period
Quality of Life
Bone and Bones
Incidence

ASJC Scopus subject areas

  • Oncology

Cite this

Miklós, F., Remenár, E., Ferenc, O., András, B., Emǒke, I., Károly, P., & Károly, K. M. (2001). Alkari és fibula értengelyǔ szabadlebenyek alkalmazásával szerzett tapasztalataink a fej-nyaki régióban. Magyar Onkologia, 45(2), 177-180.

Alkari és fibula értengelyǔ szabadlebenyek alkalmazásával szerzett tapasztalataink a fej-nyaki régióban. / Miklós, Fülöp; Remenár, E.; Ferenc, Oberna; András, Boér; Emǒke, Iványi; Károly, Pólus; Károly, Kásler Miklós.

In: Magyar Onkologia, Vol. 45, No. 2, 2001, p. 177-180.

Research output: Contribution to journalArticle

Miklós, F, Remenár, E, Ferenc, O, András, B, Emǒke, I, Károly, P & Károly, KM 2001, 'Alkari és fibula értengelyǔ szabadlebenyek alkalmazásával szerzett tapasztalataink a fej-nyaki régióban', Magyar Onkologia, vol. 45, no. 2, pp. 177-180.
Miklós, Fülöp ; Remenár, E. ; Ferenc, Oberna ; András, Boér ; Emǒke, Iványi ; Károly, Pólus ; Károly, Kásler Miklós. / Alkari és fibula értengelyǔ szabadlebenyek alkalmazásával szerzett tapasztalataink a fej-nyaki régióban. In: Magyar Onkologia. 2001 ; Vol. 45, No. 2. pp. 177-180.
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