Assessment of volume changes of radial forearm free flaps in head and neck cancer: Long-term results

Young Hoon Joo, Se Hwan Hwang, Dong Il Sun, Jun Ook Park, Kwang Jae Cho, Min Sik Kim

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

The goal of this study was to evaluate changes in radial forearm free flap (RFFF) volumes after 5 years of follow-up after ablative tumor surgery in the head and neck. Eighteen patients underwent RFFF reconstruction. Flap volumes were measured by computerized segmentation of CT or MR images. Average postoperative 3 months, and 1, 3, and 5 years flap volumes were 167.4, 129.0, 104.9, and 88.7 cm3, respectively. Average percentage changes between 3 months and 1-year, 3 months and 3-years, and 3 months and 5-years scans were 20.4, 30.3, and 42.7%, respectively. A significant relation was found between postoperative irradiation and RFFF volume changes from 3 months to 5 years (p = 0.046). Overcorrection with a 40% greater RFFF volume is recommended for the reconstruction of tumor-related defects in the head and neck.

Original languageEnglish
Pages (from-to)72-75
Number of pages4
JournalOral Oncology
Volume47
Issue number1
DOIs
StatePublished - Jan 2011

Bibliographical note

Funding Information:
This work was supported, in part, by grants from the alumni associated of the Department of Otolaryngology – Head and Neck Surgery, The Catholic University of Korea .

Keywords

  • Computer-assisted image processing
  • Head and neck neoplasms
  • Organ size
  • Radiation
  • Surgical flaps

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