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Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
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Osteoradionecrosis, an increasing indication for microvascular head and neck reconstruction
D Danielsson1, C Gahm2, S Haghdoost3
1Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institute, Stockholm, Sweden; Patient Area Craniofacial Diseases, Karolinska University Hospital, Stockholm, Sweden.
International Journal of Oral and Maxillofacial Surgery
|July 13, 2019
Summary
Osteoradionecrosis (ORN) reconstruction using free flaps is increasing among cancer survivors. This trend highlights the need for adequate healthcare resources to manage late adverse effects of cancer treatment.
Area of Science:
- Oncology
- Head and Neck Surgery
- Plastic Surgery
Background:
- Cancer survivorship is increasing due to improved treatments.
- Survivors often experience late adverse effects from cancer therapy.
- Osteoradionecrosis (ORN) is a significant late complication requiring surgical intervention.
Purpose of the Study:
- To determine if free flap reconstructions for ORN have increased over time.
- To compare outcomes between ORN reconstructions and head and neck cancer reconstructions.
Main Methods:
- Retrospective review of head and neck free flap reconstructions.
- Data collected over an 18-year period (1995-2012) at Karolinska University Hospital.
- 235 free flaps analyzed, divided into cancer and ORN groups.
Main Results:
- ORN cases demonstrated longer survival and higher rates of late complications.
- The proportion of free flaps for ORN increased significantly over the study period.
- ORN indications rose from 7.0% (1995-2000) to 27.3% (2007-2012).
Conclusions:
- ORN is an increasing indication for head and neck free flap reconstruction.
- This trend necessitates careful resource allocation in healthcare systems.
- Effective management of cancer survivors with ORN is crucial.
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