Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases

Summary:. Currently, an increasing number of patients are undergoing hemodialysis. However, little is known regarding the outcome or perioperative management of head and neck cancer reconstruction in patients undergoing hemodialysis. Here, we report two cases of patients with maxillary squamous cell...

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Autores principales:	Kou Fujisawa, MD, Shimpei Miyamoto, MD, Yuki Saito, MD, Osamu Fukuoka, MD, Mutsumi Okazaki, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3a8e1b8315bb4c1795ed05102defec6e
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spelling	oai:doaj.org-article:3a8e1b8315bb4c1795ed05102defec6e2021-11-25T07:58:04ZTotal Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases2169-757410.1097/GOX.0000000000003922https://doaj.org/article/3a8e1b8315bb4c1795ed05102defec6e2021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003922https://doaj.org/toc/2169-7574Summary:. Currently, an increasing number of patients are undergoing hemodialysis. However, little is known regarding the outcome or perioperative management of head and neck cancer reconstruction in patients undergoing hemodialysis. Here, we report two cases of patients with maxillary squamous cell carcinoma undergoing hemodialysis. The patients underwent total maxillectomy and free abdominal flap transfer. A short-thread double-needle was used in one patient because arterial calcification and intimal dissection were observed during microvascular anastomosis. Maintenance hemodialysis was performed the day before and after the surgery. Nafamostat mesylate, an ultra-short acting anticoagulant, was used in the postoperative hemodialysis for 2–3 weeks to prevent bleeding. The flaps survived completely, and no major postoperative complications occurred in either case. One patient showed no evidence of disease at 1 year following the surgery, whereas the other patient died of cancer metastasis 6 months following the surgery. Although further standardization of perioperative hemodialysis management is needed, free flap reconstruction could be considered a safe and effective therapeutic strategy for patients with head and neck cancer undergoing hemodialysis.Kou Fujisawa, MDShimpei Miyamoto, MDYuki Saito, MDOsamu Fukuoka, MDMutsumi Okazaki, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3922 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Kou Fujisawa, MD Shimpei Miyamoto, MD Yuki Saito, MD Osamu Fukuoka, MD Mutsumi Okazaki, MD Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases
description	Summary:. Currently, an increasing number of patients are undergoing hemodialysis. However, little is known regarding the outcome or perioperative management of head and neck cancer reconstruction in patients undergoing hemodialysis. Here, we report two cases of patients with maxillary squamous cell carcinoma undergoing hemodialysis. The patients underwent total maxillectomy and free abdominal flap transfer. A short-thread double-needle was used in one patient because arterial calcification and intimal dissection were observed during microvascular anastomosis. Maintenance hemodialysis was performed the day before and after the surgery. Nafamostat mesylate, an ultra-short acting anticoagulant, was used in the postoperative hemodialysis for 2–3 weeks to prevent bleeding. The flaps survived completely, and no major postoperative complications occurred in either case. One patient showed no evidence of disease at 1 year following the surgery, whereas the other patient died of cancer metastasis 6 months following the surgery. Although further standardization of perioperative hemodialysis management is needed, free flap reconstruction could be considered a safe and effective therapeutic strategy for patients with head and neck cancer undergoing hemodialysis.
format	article
author	Kou Fujisawa, MD Shimpei Miyamoto, MD Yuki Saito, MD Osamu Fukuoka, MD Mutsumi Okazaki, MD
author_facet	Kou Fujisawa, MD Shimpei Miyamoto, MD Yuki Saito, MD Osamu Fukuoka, MD Mutsumi Okazaki, MD
author_sort	Kou Fujisawa, MD
title	Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases
title_short	Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases
title_full	Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases
title_fullStr	Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases
title_full_unstemmed	Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases
title_sort	total maxillectomy and free flap reconstruction in hemodialysis patients: report of two cases
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/3a8e1b8315bb4c1795ed05102defec6e
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Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases

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