Clinical Oral Investigations

, Volume 11, Issue 1, pp 89–92 | Cite as

Outcome and complications of 540 microvascular free flaps: the Hamburg experience

  • Philipp Pohlenz
  • Marco Blessmann
  • Felix Blake
  • Lei Li
  • Rainer Schmelzle
  • Max Heiland
Original Article

Abstract

The aim of this study was to retrospectively analyze surgical outcome and complications of 540 free flap procedures performed at the Department of Oral and Maxillofacial Surgery of the University Medical Center Hamburg-Eppendorf during 1987–2005. A total of 532 patients were reconstructed with 540 flaps: 32% were latissimus dorsi flaps, 23% were radial forearm flaps, 21% were iliac crest flaps, 10% were fibula flaps, 6% were jejunal flaps, and 8% were other flaps. Thrombosis of one of the vessels and hematoma were the most frequent causes of failure in microvascular free tissue transfer. A total free flap failure occurred in 34 (6.2%) and a partial flap failure in 42 (7.7%) patients. The most reliable flap in regard to survival was the radial forearm flap. The present study confirms that free flaps are extremely reliable in achieving successful reconstruction of the head and neck.

Keywords

Free flap Microsurgical reconstruction Head and neck defect Outcome Complications 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Philipp Pohlenz
    • 1
  • Marco Blessmann
    • 1
  • Felix Blake
    • 1
  • Lei Li
    • 1
  • Rainer Schmelzle
    • 1
  • Max Heiland
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryUniversity Medical Center Hamburg-EppendorfHamburgGermany

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