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DOI: 10.1055/s-2006-939932
Secondary Free-Tissue Reconstruction for Metachronous Tumors of the Head and Neck: Techniques, Results, and Outcomes
Publication History
Accepted: January 31, 2006
Publication Date:
14 June 2006 (online)
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ABSTRACT
Malignancies of the head and neck are not uncommon in the Far East due to the habit of betel-nut chewing. The development of a second primary neoplasm is a constant fear for those who have had successful treatment of a primary cancer. A total of 82 patients, treated with microvascular reconstruction after surgical resection of head and neck cancer, were studied retrospectively. Twenty-one patients who had repeated reconstructive microsurgery for a second primary head and neck malignancy were enrolled as the study group. Sixty-one patients treated for the first-diagnosed malignancy were considered as the control group. There were no statistical differences between the two groups, either in terms of operation time, hospital stay, successful rate, or complication rate. The results show that, if required, one should not hesitate to repeat the free-tissue transfer after ablating a second primary neoplasm.
KEYWORDS
Head and neck cancer - second primary tumor - microvascular reconstruction
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Tzong-Bor SunM.D. Ph.D.
Division of Plastic Surgery and Center for Hyperbaric Oxygen Therapy, Buddhist Tzu Chi General Hospital
707, Sec. 3, Chung-Yang Road, Hualien 970, Taiwan