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Perspectives in Using Multiple Flaps Reconstructions for Advanced Head and Neck Tumors (Scoping Review)
Anca-Ionela Cîrstea1,2, Șerban Vifor Gabriel Berteșteanu1,3, Daniela Vrînceanu1,2
1Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Medicina (Kaunas, Lithuania)
|August 29, 2024
Summary
Salvage surgery for advanced head and neck tumors requires complex reconstructions. This review assesses free flap efficacy, with success rates from 85-100%, and highlights emerging techniques for improved patient outcomes.
Area of Science:
- Surgical Oncology
- Reconstructive Surgery
- Head and Neck Cancer
Background:
- Advanced head and neck tumors often necessitate salvage surgery, presenting significant reconstructive challenges.
- Multidisciplinary teams are crucial for managing these complex cases, balancing oncologic resection with patient quality of life and survival.
- Personalized medicine approaches are essential for optimizing outcomes in each unique patient case.
Purpose of the Study:
- To assess the efficacy and outcomes of complex head and neck tumor reconstructions.
- To focus on the use of free flaps and evaluate emerging reconstructive techniques.
- To provide an evidence-based overview for optimizing reconstructive strategies in head and neck cancer care.
Main Methods:
- A systematic literature search adhering to PRISMA guidelines was performed.
- 44 relevant articles published within the last 10 years were included in the review.
- The review analyzed surgical techniques, outcomes, complications, and advancements in head and neck reconstruction.
Main Results:
- Free flap reconstructions (e.g., radial forearm, anterolateral thigh) demonstrated success rates between 85% and 100%.
- Success varied based on patient selection, tumor characteristics, and surgical expertise.
- Common complications included flap necrosis, infection, hematoma, and donor site morbidity.
Conclusions:
- Meticulous surgical planning and postoperative care are vital for minimizing complications.
- Emerging techniques like computer-aided design, virtual surgery, and tissue engineering show promise for enhancing reconstructive options.
- Advances in surgical techniques and technology are expected to improve reconstructive outcomes, reduce morbidity, and enhance patient quality of life.
