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Updated: Jul 9, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Free-flap reconstruction in the elderly patient]
P Perrot1, R Le Floch, F Bellier-Waast
1Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Hôtel-Dieu, CHU de Nantes, immeuble Jean-Monnet, 1, place Alexis-Ricordeau, 44093 Nantes cedex 01, France. pierre.perrot@chu-nantes.fr
Annales De Chirurgie Plastique Et Esthetique
|December 7, 2007
Summary
Microsurgery, including free-flap procedures, is safe and effective in elderly patients (70+ years). Higher American Society of Anesthesiologists (ASA) class indicates increased risk for postoperative complications, not age or operation time.
Area of Science:
- Plastic Surgery
- Geriatric Medicine
- Surgical Outcomes
Context:
- Elderly patients present unique challenges for surgical procedures.
- Microsurgery and free-tissue transfer are advanced reconstructive techniques.
- Assessing surgical safety and efficacy in older populations is crucial.
Purpose:
- To evaluate the safety and efficacy of microsurgery in patients aged 70 years and older.
- To determine the success rate of microvascular free-tissue transfer in the elderly.
- To identify factors influencing postoperative medical complications in this demographic.
Summary:
- Ten free-flap procedures were performed on patients aged 70 or older between 2003 and 2005.
- An overall success rate of 100% was achieved, with one flap requiring reexploration.
- Postoperative medical complications occurred in 20% of patients, primarily those with American Society of Anesthesiologists (ASA) class 3 and 4 status.
- Neither operation time nor patient age predicted postoperative complications; only ASA status was a significant risk factor.
Impact:
- Microvascular free-tissue transfer is a safe and reliable surgical option for the elderly population.
- The success rates for free-flaps in older adults are comparable to younger age groups.
- Identifying high-risk patients (ASA class 3-4) allows for targeted perioperative management to mitigate complications.
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01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:24Flail Chest-I
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...