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Survival and function in patients with tumours of the head and neck operated on and reconstructed with free flaps
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Surgery . Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery . Östergötlands Läns Landsting, Reconstruction Centre, Department of ENT - Head and Neck Surgery UHL.
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
Abstract [en]

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.
Keyword [en]
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 Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-43386DOI: 10.1080/02844310701850538Local ID: 73688OAI: oai:DiVA.org:liu-43386DiVA: diva2:264245
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2011-01-10

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Lidman, DisaNiklasson, Magnus

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Lidman, DisaNiklasson, Magnus
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Faculty of Health SciencesSurgery Department of Plastic Surgery, Hand surgery UHLOto-Rhiono-Laryngology and Head & Neck Surgery Department of ENT - Head and Neck Surgery UHL
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Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Medical and Health Sciences

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