Free tissue transfer in patients over 75 with head and neck malignancy

Free tissue transfer in patients over 75 with head and neck malignancy Radical excision and reconstruction, often with free tissue transfer, has been shown to offer the best hope of cure for advanced head and neck malignancy. Despite the fact that these patients are often elderly, with significant preoperative morbidity there have been few, if any, reports of the success of excision and free tissue reconstruction in patients over 75 years old. We therefore performed a consecutive review of 12 patients over 75 undergoing such surgery in this unit over the past three years in an effort to clarify indications, success rate and complications. The age of the patients ranged from 75 to 88 years (mean 81). All of the flaps survived. Two (16%) required early reexploration. Six of the twelve (50%) patient remain tumour free an average of 18.3 months after surgery (range 1–33 months). One died of causes unrelated to his tumour 14 months after surgery. Of the remaining five, two died in the early post-operative period, two of recurrent tumour or a second primary and one remains alive 8 months post-surgery despite local reccurrence. We dicuss the indications, complications and outcomes of surgery in these cases and discuss patient selection and measures which may help reduce peri-operative morbidity and mortality in these elderly patients undergoing radical surgery. European Journal of Plastic Surgery Springer Journals

Free tissue transfer in patients over 75 with head and neck malignancy

Loading next page...
Copyright © 1998 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial