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 language | English |
---|---|
Pages (from-to) | 72-75 |
Number of pages | 4 |
Journal | Oral Oncology |
Volume | 47 |
Issue number | 1 |
DOIs | |
State | Published - 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