Author/Editor		Arnež, Zoran M; Pogorelec, Dario; Planinšek, Franci; Žargi, Miha; Šmid, Lojze; Župevc, Avgust; Fajdiga, Igor; Sotošek, Borut; Kansky, Andrej A; Eržen, Janez; Sok, Miha
Title		Ljubljanske izkušnje z rekonstrukcijo po tumorjih na glavi in vratu v letih od 1990 do 2000
Translated title		Ljubljana experience with reconstruction following ablation of head and neck tumors from 1990 to 2000
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 3
Publication year		2000
Volume		str. 23-5
Language		slo
Abstract		Between the years 1990 and 2000 the Ljubljana team of surgeons dealing with head and neck tumors operated on 150 patients with head and neck malignant tumours and performed simultaneous reconstruction by 177 free flap transfers. Nineteen free flaps failed (overall success rate 89.26%). The success rate in our patients depended on localization (100% on cheeks, lips, neck and in parotid region, 92% on the nose, 91% on the floor of the mouth, 85% in the orbital region, 80%, in the region of the mandible and 75% in the region of the cervical esophagus) and selection of the free flap. The majority of reconstructions were done by the use of the radial forearm fascio-cutaneous free flap. Reconstruction following ablation of malignant tumors in the head and neck region does not interfere with the disease or prolong survival of patients but it improves their quality of life. Working in teams shortened the operations, decreased the number of postoperative complications, shortened the hospital stay and decreased the costs of treatment.
Summary		Med letoma 1990 in 2000 je skupina ljubljanskih kirurgov, ki se ukvarja s kirurškim zdravljenjem tumorjev na glavi in vratu, operirala 150 bolnikov z rakom na glavi in vratu, pri katerih je bila opravljena tudi rekonstrukcija s 177 prostimi režnji. Devetnajst od 177 prostih režnjev je odmrlo (uspešnost prostega prenosa je bila 89,26 %). Uspešnost prenosa pri naših bolnikih je bila odvisna od lokalizacije (100 % na licu, ustnicah, v obušesnem predelu in na vratu, 92 % na nosu, 91% na ustnem dnu, 85 % v predelu očnice, 80 % v predelu spodnje čeljusti in 75% v predelu vratnega požiralnika in izbire prosteča režnja. Največ rekonstrukcij je bilo opravljenih s prostim radialnim podlaktnim fascio-kožnim režnjem. Rekonstrukcija po odstranitvi malignih tumorjev glave in vratu ne vpliva na potek bolezni, ne podaljša preživetja, zagotavlja pa boljšo kakovost življenja. Timsko delo je skrajšalo operacije, zmanjšalo število pooperacijskih zapletov, skrajšalo bolnišnično zdravljenje in zmanjšalo stroške zdravljenja.
Descriptors		HEAD AND NECK NEOPLASMS SURGERY, PLASTIC QUALITY OF LIFE SURVIVAL ANALYSIS POSTOPERATIVE COMPLICATIONS HOSPITALIZATION PATIENT CARE TEAM