Stomal recurrence: Salvage surgery and reconstruction utilizing microvascular free tissue transfer. Issue 10 (18th December 2013)

• Record Type: Journal Article
• Authors: Pittman, Amy; Lindau, Robert; Andersen, Peter; Wax, Mark K.
• Is Part Of: Head & neck. Volume 36:Issue 10(2014:Oct.)
• Page Start: 1431
• Page End: 1434
• Publication Date: 2013-12-18
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23468
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="hed23468-sec-0001" sec-type="section"> <title>Background</title> <p>Stomal recurrence in patients after laryngectomy has a poor prognosis. Studies performed using sternal resection with pectoralis flap reconstruction report &lt;25% 2‐year survival. The purpose of this study was to ascertain whether the use of larger resection with free flap reconstruction improves survival.</p> </sec> <sec id="hed23468-sec-0002" sec-type="section"> <title>Methods</title> <p>Thirteen cases of stomal recurrence that underwent extended sternal resection and free flap reconstruction were identified and classified according to Sisson criteria. Postoperative morbidity, mortality, and survival were assessed.</p> </sec> <sec id="hed23468-sec-0003" sec-type="section"> <title>Results</title> <p>Median survival was 10 months in patients with Sisson types I and II, with 37.5% 1‐year and 25% 2‐year survival. Median survival was 6 months in patients with Sisson types III and IV, with 40% 1‐year and 0% 2‐year survival. There were 2 perioperative deaths and a major morbidity rate of 45%.</p> </sec> <sec id="hed23468-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Salvage surgery using free flap reconstruction did not show improved survival rates compared with previously described techniques. © 2013 Wiley Periodicals, Inc. <italic>Head Neck</italic>, 36: 1431–1434, 2014</p> </sec> </abstract>