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Advances in functional limb reconstruction in the irradiated setting

Plastic and Aesthetic Research 2019年第11期6卷 1-11页

作者： Nicholas Marsden damien grinsell Department of Plastic Surgery St Vincent's HospitalMelbourne 3065Australia

The management of extremity soft tissue sarcoma is constantly evolving, and, in recent decades, limb salvage has been the main goal. More commonly, this is being achieved with a combination of neo-adjuvant radiotherapy,followed by wide excision and soft tissue reconstruction in the form of vascularised soft tissue transfer. Although limb salvage is now readily achievable, the resultant functional disabilities following excision of major musculotendinous and neurovascular structures can be life changing. In recent years, there has been a move towards functional limb reconstruction in the form of free functioning muscle transfer. This paper reviews the advances in functional limb reconstruction in the setting of preoperative radiation and reports our experience in this challenging reconstructive field.

关键词： Sarcoma radiation functional limb reconstruction free functioning muscle transfer nerve transfer

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Free Anterolateral Thigh Perforator Flap for Head and Neck Cancer Resection in a Nonagenarian

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Modern Plastic Surgery 2012年第1期2卷 1-4页

作者： Frank Lin damien grinsell 不详

With an aging population, free flap reconstruction for head and neck cancer ablation in the elderly is becoming more commonplace. In nonagenarians, however, such major operations are still rarely offered due to its physiological demands. We report the first case of successful resection and reconstruction of head and neck cancer with a free perforator flap in a 96 year old patient. We feel that with careful patient and flap selection, careful preoperative workup and close collaboration between treating teams, age alone should not preclude patients from receiving the best possible curative treatment and reconstruction in head and neck cancers. Even in nonagenarians, perforator free flaps, such as the anterolateral thigh flap, can be used safely to achieve good functional and aesthetic outcomes.

关键词： Nonagenarian Elderly Microsurgery Perforator Flap Head and Neck

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