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September 10, 2025Journal of Craniofacial Surgery

Extensive Local Flaps Among Head and Neck Patients With Multimorbidity. Review of Main Comorbidities Related to Increased Perioperative Risk in Free Flap Procedures

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Authors

JOJakub OpyrchałDBDaniel BulaDNDariusz Nałęcz

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Overview

Review highlights comorbidities raising perioperative risk in patients undergoing free flap procedures.

Key Points

  • Postoperative complications were minor in patients undergoing free flap procedures despite high comorbidity rates.
  • Seventy percent of patients analyzed were classified as ASA group IV, indicating severe systemic disease.
  • The study included an analysis of 10 patients with severe comorbidities who were excluded from free flap procedures.
  • The findings suggest that local flaps may provide a safer reconstructive option for patients with multiple comorbidities.

Cite This Study

Opyrchał et al. (2025) studied this question.

synapsesocial.com/papers/68c1b18b54b1d3bfb60e86dahttps://doi.org/10.1097/scs.0000000000011776
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  4. 4Influence of diabetes mellitus on postoperative complications and failure in head and neck free flap reconstruction: A systematic review and meta‐analysis2014 · 95 citations
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