Microsurgical reconstructive surgery in patients aged 80 years or older

Yoshihiro Kimata, Minoru Sakuraba, Shigeyuki Hishinuma, Satoshi Ebihara, Takashi Nakatsuka, Kiyonori Harii

Research output: Contribution to journalArticle

Abstract

Microsurgical reconstruction using free flaps in elderly patients has increased in recent years. Between April 1981 and December 2001, 34 patients aged 80 years or older underwent reconstruction at our hospitals using free flaps for head and neck defect. Preoperative medical complications concerning cardiac, pulmonary and renal function were recognized in more than half of the 34 patients. Severe arteriosclerotic changes in the recipient artery were recognized in 4 patients. Among them, one flap failed due to arterial thrombosis that occurred two days postoperatively. Major medical postoperative complications developed in 5 patients. These included two cases of renal failure, two cases of pneumonia and respiratory insufficiency, and one case of cerebral vascular accident. Four of these patients died, so the surgical mortality rate was 11.8% (4/34). Advanced age does not affect the technical success of microsurgical free tissue transfer, but the risk of medical complications is significant and directly related to concurrent illness of the individual patient rather than to age alone.

Original languageEnglish
Pages (from-to)1117-1123
Number of pages7
JournalJapanese Journal of Plastic and Reconstructive Surgery
Volume45
Issue number12
Publication statusPublished - Dec 1 2002
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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    Kimata, Y., Sakuraba, M., Hishinuma, S., Ebihara, S., Nakatsuka, T., & Harii, K. (2002). Microsurgical reconstructive surgery in patients aged 80 years or older. Japanese Journal of Plastic and Reconstructive Surgery, 45(12), 1117-1123.