Anterolateral Thigh Thickness Measurement in Positron Emission Tomography-Computed Tomography for the Prediction of Free Flap Reconstruction Outcomes in Head and Neck Cancer

반명진; 박재홍; 변형권; 장재원; 안정현; 김지훈; 김원식; 고윤우; 김세헌; 최은창

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자료유형: 학술저널

저자정보: 반명진 박재홍 변형권 장재원 안정현 김지훈 김원식 고윤우 김세헌 최은창

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제11호

발행연도: 2016.1

수록면: 780 - 786 (7page)

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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 and Method 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. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(11):780-6

#Cancer of head and neck ㆍComputed tomography ㆍFree flaps ㆍ Positron emission tomography ㆍThigh.

참고문헌 (13)

참고문헌 신청

Lakhiani C / 2012 / Vascular anatomy of the anterolateral thigh flap: a systematic review / Plast Reconstr Surg 130(6):1254~1268

Yu P / 2002 / Anterolateral thigh fasciocutaneous island flaps in perineoscrotal reconstruction / Plast Reconstr Surg 109(2):610~616

Yu P / 2004 / Characteristics of the anterolateral thigh flap in a Western population and its application in head and neck reconstruction / Head Neck 26(9):759~769

Yu P / 2009 / Analysis of 49cases of flap compromise in 1310 free flaps for head and neck reconstruction / Head Neck 31(1):45~51

Lin DT / 2004 / Use of the anterolateral thigh flap for reconstruction of the head and neck / Curr Opin Otolaryngol Head Neck Surg 12(4):300~304

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