A Study Comparing Free-Flap Reconstruction via the Retroauricular Approach and the Traditional Transcervical Approach for Head and Neck Cancer: A Matched Case-Control Study
- Abstract
- BACKGROUND: Free-flap reconstruction via a retroauricular approach (RRA) after robot-assisted neck dissection (RAND) could have cosmetic benefits. This study aimed to compare the surgical outcomes of free-flap reconstruction via a RRA and via a transcervical approach in head and neck cancer. METHODS: For this matched case-control study, 50 patients with head and neck cancer requiring free-flap reconstruction were divided into two groups: those reconstructed via a RRA group and those reconstructed via a transcervical approach (RTA group). The total operation time for free-flap reconstruction, the flap survival rate, the length of the hospital stay, the complications, and the scar satisfaction scores were compared between the two groups. RESULTS: The RRA group comprised 25 patients, and the RTA group had 25 patients. The mean operation time for reconstruction was 288 ± 77 min in the RRA group and 250 ± 98 min in the RTA group (p = 0.132). Flap failure occurred for two patients in the RRA group (8 %) and for one patient in the RTA group (4 %) (p = 1.000). The mean hospital stay was 21 ± 18 days in the RRA group and 23 ± 14 days in the RTA group (p = 0.669). The complications were comparable between the two groups. However, the overall scar satisfaction was significantly higher in the RRA group (p = 0.000). CONCLUSIONS: For patients with head and neck cancer, RRA has better cosmetic outcomes than RTA. The RRA approach could be used for select patients who undergo RAND and prefer to avoid a visible anterior neck scar.
- All Author(s)
- W. S. Kim
; J. H. Park
; H. K. Byeon
; J. W. Chang
; M. J. Ban
; Y. W. Koh
; E. C. Choi
- Issued Date
- 2015
- Type
- Article
- Keyword
- Adult; Aged; Case-Control Studies; Female; Follow-Up Studies; *Free Tissue Flaps; Head and Neck Neoplasms/pathology/*surgery; Humans; Male; Middle Aged; Neck Dissection/instrumentation/*methods; Neoplasm Staging; Prognosis; Plastic Surgery Procedures/*methods; *Surgical Flaps
- Publisher
- Society of Surgical Oncology
- ISSN
- 1068-9265
- Citation Title
- Annals of Surgical Oncology
- Citation Volume
- 22
- Citation Number
- Suppl 3
- Citation Start Page
- S349
- Citation End Page
- S354
- Language(ISO)
- eng
- DOI
- 10.1245/s10434-015-4795-6
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1409
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