Anterolateral Thigh Thickness Measurement in Positron Emission Tomography-Computed Tomography for the Prediction of Free Flap Reconstruction Outcomes in Head and Neck Cancer / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 780-786, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-653246
ABSTRACT
BACKGROUND AND OBJECTIVES:
Anterolateral thigh (ALT) flaps are commonly used for head and neck surgery reconstruction. However, a thick ALT often leads to long operation times. Therefore, ALT thickness on a preoperative non contrast image of positron emission tomography-computed tomography (PET-CT) scan was measured to predict surgical outcome. SUBJECTS ANDMETHOD:
The correlation between ALT thickness and total reconstruction time was analyzed in 106 patients. The differences in ALT thickness between the successful and compromised-flap groups were analyzed retrospectively.RESULTS:
Median ALT thickness was 4.49 mm, and total reconstruction time was 190 min. Total reconstruction time was significantly correlated with ALT thickness (p=0.019). ALT thickness, body mass index (BMI), total reconstruction time and ischemia time were significantly greater in the compromised-flap group than in the successful group. In the multivariate analysis, only BMI and ischemia time were predictors for the compromised flap.CONCLUSION:
ALT thickness measured on a non-contrast image of PET-CT scan is useful as a surgical outcome predictor with respect to total reconstruction time. A further study may suggest the risk of a thick ALT in a compromised flap in head and neck reconstruction using an ALT free flap.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Coxa da Perna
/
Índice de Massa Corporal
/
Análise Multivariada
/
Estudos Retrospectivos
/
Tomografia por Emissão de Pósitrons
/
Elétrons
/
Retalhos de Tecido Biológico
/
Cabeça
/
Neoplasias de Cabeça e Pescoço
/
Isquemia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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