Quantitative analysis of free flap volume changes in head and neck reconstruction

Kazuaki Yamaguchi, Yoshihiro Kimata, Satoshi Onoda, Nobuyoshi Mizukawa, Tomoo Onoda

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background The purpose of this study was to determine whether free flap volume decreases or increases in the long-term postoperative period. Methods We used a retrospective analysis of 17 patients to measure muscle and fat volume in free flap with 3-dimensional (3D) images using the AZE Virtual Place Lexus64. Results Seventeen patients underwent free flap reconstruction with rectus abdominis musculocutaneous flaps (n = 11) or anterolateral thigh flaps (n = 6). Median follow-up was 28.9 months (range, 2.1-48.4 months). Total flap volume was significantly decreased in flaps including â¥40% muscle (p =.011). Mean final muscle volume was 50% at an average of 12 months. Final fat volume was significantly higher for cases with no evidence of disease (mean, 116.7%) than for died-of-the-disease cases (mean, 70.3%; p =.007). Conclusion Use of free flaps with a high ratio of fat to muscle is sustainable and can gain volume over time, as transplanted fat can increase depending on host condition.

Original languageEnglish
Pages (from-to)1403-1407
Number of pages5
JournalHead and Neck
Volume34
Issue number10
DOIs
Publication statusPublished - Oct 2012

Fingerprint

Free Tissue Flaps
Neck
Fats
Head
Muscles
Rectus Abdominis
Myocutaneous Flap
Thigh
Postoperative Period

Keywords

  • chronological
  • free flap volume
  • head and neck
  • long-term follow-up
  • quantitative

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Quantitative analysis of free flap volume changes in head and neck reconstruction. / Yamaguchi, Kazuaki; Kimata, Yoshihiro; Onoda, Satoshi; Mizukawa, Nobuyoshi; Onoda, Tomoo.

In: Head and Neck, Vol. 34, No. 10, 10.2012, p. 1403-1407.

Research output: Contribution to journalArticle

Yamaguchi, Kazuaki ; Kimata, Yoshihiro ; Onoda, Satoshi ; Mizukawa, Nobuyoshi ; Onoda, Tomoo. / Quantitative analysis of free flap volume changes in head and neck reconstruction. In: Head and Neck. 2012 ; Vol. 34, No. 10. pp. 1403-1407.
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