Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Maxillofacial Microvascular Free Flap Reconstructions in Pediatric and Adolescent Patients – Outcomes and Potential Factors Influencing Success Rate

Dominika Maja Lech
ORCID logo ,
Jeremi Jan Matysek
,
Robert Maksymowicz
,
Cyprian Norbert Strączek
,
Robert Marguła
,
Łukasz Krakowczyk
,
Marcin Kozakiewicz
,
Krzysztof Dowgierd
* ORCID logo
Version 1 : Received: 29 January 2024 / Approved: 30 January 2024 / Online: 31 January 2024 (01:48:17 CET)

A peer-reviewed article of this Preprint also exists.

Lech, D.; Matysek, J.; Maksymowicz, R.; Strączek, C.; Marguła, R.; Krakowczyk, Ł.; Kozakiewicz, M.; Dowgierd, K. Maxillofacial Microvascular Free-Flap Reconstructions in Pediatric and Young Adult Patients—Outcomes and Potential Factors Influencing Success Rate. J. Clin. Med. 2024, 13, 2015. Lech, D.; Matysek, J.; Maksymowicz, R.; Strączek, C.; Marguła, R.; Krakowczyk, Ł.; Kozakiewicz, M.; Dowgierd, K. Maxillofacial Microvascular Free-Flap Reconstructions in Pediatric and Young Adult Patients—Outcomes and Potential Factors Influencing Success Rate. J. Clin. Med. 2024, 13, 2015.

Abstract

This is a retrospective chart review of outcomes of maxillofacial microvascular free flap reconstructions in pediatric and adolescent patients. A single head and neck surgical team performed all the included 136 procedures. Demographic and surgical patient data were recorded. Type of transfer performed in each recipient site and major complications were analyzed. Relevant influencing factors, such as age, gender and etiology of defect were determined using the ANOVA test and χ² test of independence. Results indicate a 90% success rate. No significant relation was found between the incidence of total flap loss and patient age, etiology or graft source. The maxillary reconstructions showed a higher incidence of total flap loss compared to mandibular ones (11 vs. 3 cases). Despite the high success rate, the findings underline the necessity for further research to validate these observations and enhance surgical methods for pediatric and adolescent patients.

Keywords

Pediatric; free flap; microvascular reconstruction; head and neck; outcomes; success rate; complications

Subject

Medicine and Pharmacology, Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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