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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Long-term Outcomes After Pediatric Free Flap Reconstruction.

Lee W T Alkureishi, Chad A Purnell1, Patricia Park2

  • 1Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago.

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Free tissue transfer (microvascular reconstruction) is safe and effective for children, showing reliable outcomes and good long-term quality of life. Pediatric patients tolerate these procedures well, with low complication rates.

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Area of Science:

  • Pediatric surgery
  • Microsurgery
  • Reconstructive surgery

Background:

  • Free tissue transfer is established for adults, but pediatric outcomes are less understood.
  • Assessing long-term results of microvascular reconstruction in children is crucial.

Purpose of the Study:

  • To evaluate short- and long-term outcomes of free flaps in pediatric patients.
  • To compare patient-reported quality of life with normative data.

Main Methods:

  • Retrospective chart review and prospective quality-of-life surveys.
  • Utilized the Pediatric Outcomes Data Collection Instrument for health, pain, and activity assessments.
  • Compared patient scores to general population norms.

Main Results:

  • 48 free flap reconstructions performed in 42 children (mean age 8 years) with a median follow-up of 14.9 years.
  • Low major complication rates: 9% for flaps and 2% for donor sites.
  • Quality-of-life scores (mobility, sports, happiness, pain) were comparable to normative data.

Conclusions:

  • Free tissue transfer is a reliable and well-tolerated procedure in the pediatric population.
  • Positive long-term outcomes support the use of free flaps when indicated in children.