ArticleArchives of craniofacial surgery2023
Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction.
Article in Archives of craniofacial surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Efficacy of Aspirin Usage in Free Flap Reconstruction of the Head and Neck.Laryngoscope investigative otolaryngology · 2026Article
- Quantitative Venous Outflow Assessment in Reconstructive Flaps Using Indocyanine Green Angiography: A Systematic Review.Plastic and reconstructive surgery. Global open · 2026Article
- Association of Perioperative Dexmedetomidine Exposure with Flap Failure After Head and Neck Surgery Flap Reconstruction: A Retrospective Study.Drug design, development and therapy · 2026Article
- Innovative technique to cover exposed dura mater after occipital osteomyelitis, using our triple layer using matriderm. A case report.Frontiers in surgery · 2026Article
- Increased Risk of Postoperative Complications in Patients with Hypertension Undergoing Mohs Micrographic Surgery.JID innovations : skin science from molecules to population health · 2026Article
- Non-Tobacco Nicotine Use and Complications in Free Flap Repair in Head and Neck Cancer.The Laryngoscope · 2025Article
- Article
- Reconstruction of large facial defects using three or more local flaps.Archives of craniofacial surgery · 2025Article
- In the Era of Advanced Microsurgery, Is There Still a Place for Pedicled Abdominal Flaps? A Retrospective Analysis.Journal of clinical medicine · 2025Article
- A refined experimental model for local, interpolated flap, and free tissue transfer studies using musculus cutaneus maximus-based musculocutaneous flap in the rat.Acta cirurgica brasileira · 2025Article
- Ultrasound in Microsurgery: Current Applications and New Frontiers.Journal of clinical medicine · 2024Review
- Perioperative management of facial reconstruction surgery in patients with end-stage renal disease undergoing dialysis.Archives of craniofacial surgery · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundFree tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure.
methodsThis retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021.
resultsDuring the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery.
conclusionCardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.
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