Postoperative radiotherapy delay in head and neck cancer patients undergoing major resection and free flap reconstruction.
Abstract
[BACKGROUND] Delays to postoperative radiotherapy (PORT) are frequent and associated with poorer oncologic outcomes in head and neck cancer (HNC) patients. Free flap patients have been suggested as the most at-risk group. Thus, PORT delivery experienced by HNC patients who required a free flap reconstruction was analysed, identifying reasons for the delays if any.
[METHODS] A retrospective analysis of a single tertiary unit's PORT delivery to HNC patients undergoing major resection followed by free flap reconstruction between 2017 and 2020.
[RESULTS] Eighty-seven patients were identified. Thirty-two patients received PORT within 6 weeks of their surgery date. Reasons for the delays could be categorised into surgery-derived, system-derived and patient-derived reasons. Five patients (5.74%) received PORT >6 weeks after their surgery due to surgical complications. No patients experienced surgical complications during their PORT.
[CONCLUSION] In our experience, surgical aspects of free flap reconstructions do not appear to overtly delay or interrupt PORT.
[METHODS] A retrospective analysis of a single tertiary unit's PORT delivery to HNC patients undergoing major resection followed by free flap reconstruction between 2017 and 2020.
[RESULTS] Eighty-seven patients were identified. Thirty-two patients received PORT within 6 weeks of their surgery date. Reasons for the delays could be categorised into surgery-derived, system-derived and patient-derived reasons. Five patients (5.74%) received PORT >6 weeks after their surgery due to surgical complications. No patients experienced surgical complications during their PORT.
[CONCLUSION] In our experience, surgical aspects of free flap reconstructions do not appear to overtly delay or interrupt PORT.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 5 | |
| 해부 | flap
|
scispacy | 1 | ||
| 약물 | HNC
→ head and neck cancer
|
C0278996
Malignant Head and Neck Neoplasm
|
scispacy | 1 | |
| 약물 | [BACKGROUND]
|
scispacy | 1 | ||
| 약물 | [RESULTS] Eighty-seven patients
|
scispacy | 1 | ||
| 질환 | head and neck cancer
|
C0278996
Malignant Head and Neck Neoplasm
|
scispacy | 1 | |
| 질환 | Delays
|
scispacy | 1 | ||
| 질환 | HNC
→ head and neck cancer
|
C0278996
Malignant Head and Neck Neoplasm
|
scispacy | 1 | |
| 질환 | head and neck cancer patients
|
scispacy | 1 | ||
| 질환 | PORT
→ postoperative radiotherapy
|
scispacy | 1 | ||
| 질환 | HNC patients
|
scispacy | 1 | ||
| 질환 | system-derived
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
Free Tissue Flaps; Head and Neck Neoplasms; Humans; Postoperative Complications; Plastic Surgery Procedures; Retrospective Studies
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