Pulmonary atelectasis after reconstruction with a latissimus dorsi myocutaneous flap

Mark Wax, Janis Hurst

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Atelectasis is the most common postoperative complication encountered in head and neck surgery. Risk factors include preexisting pulmonary disease, type of surgery performed, and the length of anesthetic. It is controversial whether reconstruction of defects with regional myogenous flaps predisposes to atelectasis. The latissimus dorsi myocutaneous flap requires the patient to be placed on his side for a period of time. Whether it is the position or the surgery that contributes to the development of atelectasis has not been examined. Eighteen patients underwent latissimus dorsi myocutaneous flap reconstruction following major ablative procedures for head and neck cancer. The cutaneous area transferred ranged from 70 to 225 cm2 (mean, 128cme). The flap size ranged from 7 x 10 to 15 x 15 cm. The majority of flaps were 10 x 15 cm or greater. These patients were compared to 18 patients who did not undergo pedicled myocutaneous chest flap reconstruction. Patients were matched for age, sex, length of operation, site of primary, and stage of disease. Postoperative atelectasis was radiographically detected in 89% of flap patients vs. 79% of controls. Major atelectasis was encountered in 16% of patients undergoing flap surgery vs. 11% of patients in the control group. Patients with large cutaneous paddles on their flaps (>120 cm2) had significantly more atelectasis than patients with smaller cutaneous paddles (P

Original languageEnglish (US)
Pages (from-to)268-272
Number of pages5
JournalLaryngoscope
Volume106
Issue number3 I
DOIs
StatePublished - Mar 1996
Externally publishedYes

Fingerprint

Myocutaneous Flap
Pulmonary Atelectasis
Superficial Back Muscles
Skin
Preexisting Condition Coverage
Head and Neck Neoplasms
Lung Diseases
Anesthetics
Neck
Thorax
Head
Control Groups

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Pulmonary atelectasis after reconstruction with a latissimus dorsi myocutaneous flap. / Wax, Mark; Hurst, Janis.

In: Laryngoscope, Vol. 106, No. 3 I, 03.1996, p. 268-272.

Research output: Contribution to journalArticle

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