Survival and function in patients with tumours of the head and neck operated on and reconstructed with free flaps
2008 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 0284-4311, Vol. 42, no 2, 77-85 p.Article in journal (Refereed) Published
From 1983 to 2003, 131 patients were operated on in the head and neck region with 139 free flaps. They were operated on using a team approach of ear, nose, and throat surgeons and plastic surgeons, and sometimes maxillofacial surgeons. The tumours were squamous cell carcinoma (SCC) 104 (80%), salivary gland cancer 13 (10%), sarcoma 5 (4%), basal cell carcinoma 4 (3%), and others 4 (3%). The staging of the primary intraoral SCC tumours (n=79) was 42% in stage II, 28% in stage III, and 30% in stage IV. The survival of patients with primary oral SCC was compared with a previously treated previous series that gave an increase in tumour-related five-year survival from 48% to 58%. Most flaps were radial forearm flaps (73%). Fifteen percent were vascularised bone transfers. A questionnaire was sent to patients who had had oral/oropharyngeal tumours to measure function and satisfaction, to which 47/49 responded. The results including ability to chew and swallow, speech was good, with a median score of 0.78 (range 1-0).
Place, publisher, year, edition, pages
2008. Vol. 42, no 2, 77-85 p.
Adult Aged Aged, 80 and over Carcinoma, Squamous Cell/*mortality/radiotherapy/*surgery Combined Modality Therapy Female Humans Male Middle Aged Mouth Neoplasms/*mortality/radiotherapy/*surgery Pharyngeal Neoplasms/mortality/radiotherapy/*surgery Reconstru
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-43386DOI: 10.1080/02844310701850538Local ID: 73688OAI: oai:DiVA.org:liu-43386DiVA: diva2:264245