This work was presented at the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Chicago, Illinois, September 22, 2008.
Complications and functional outcomes following complex oropharyngeal reconstruction†
Article first published online: 1 DEC 2009
Copyright © 2009 Wiley Periodicals, Inc.
Head & Neck
Volume 32, Issue 8, pages 1003–1011, August 2010
How to Cite
Zafereo, M. E., Weber, R. S., Lewin, J. S., Roberts, D. B. and Hanasono, M. M. (2010), Complications and functional outcomes following complex oropharyngeal reconstruction. Head Neck, 32: 1003–1011. doi: 10.1002/hed.21290
- Issue published online: 13 JUL 2010
- Article first published online: 1 DEC 2009
- Manuscript Accepted: 28 AUG 2009
- Manuscript Revised: 3 AUG 2009
- Manuscript Received: 26 FEB 2009
- oropharyngeal reconstruction;
- oropharyngeal squamous cell carcinoma;
We sought to evaluate postoperative complications and functional outcomes in patients who underwent oropharyngeal reconstruction after oncologic resection.
The evaluation constituted a retrospective review of 65 patients who underwent microvascular free flap (85%) and/or pectoralis pedicled flap (18%) oropharyngeal reconstruction after composite resection for advanced oropharyngeal squamous cell carcinoma.
Perioperative mortality was 1.5%. Overall, 29 patients (45%) experienced surgical or medical complications; however, only 2 patients (3%) required operative intervention. The flap success rate was 100%. Eighty-six percent of patients were decannulated, 34% were able to meet all of their nutritional needs orally, and 69% attained >80% speech intelligibility. Preoperative swallowing impairment was associated with postoperative feeding tube dependence (p = .006).
Microvascular free flap and/or pectoralis pedicled flap reconstruction of extensive oropharyngeal defects is safe and reliable, even with advanced disease. Although most patients achieved decannulation and functional speech, almost two thirds remained at least partially feeding tube dependent. © 2009 Wiley Periodicals, Inc. Head Neck, 2010