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Lookup NU author(s): Dr Chang Lee, Dr Charles Kelly, Mani Ragbir, Daniel Saleh
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© 2022 Elsevier Ltd. 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.
Author(s): Lee CW, Dupre S, Marlborough F, Iqbal MS, Kelly C, Bashir MA, Ahmed OA, Ragbir M, Saleh DB
Publication type: Article
Publication status: Published
Journal: Journal of Plastic, Reconstructive and Aesthetic Surgery
Year: 2022
Volume: 75
Issue: 7
Pages: 2084-2089
Print publication date: 01/07/2022
Online publication date: 26/02/2022
Acceptance date: 15/02/2022
ISSN (print): 1748-6815
ISSN (electronic): 1878-0539
Publisher: Churchill Livingstone
URL: https://doi.org/10.1016/j.bjps.2022.02.038
DOI: 10.1016/j.bjps.2022.02.038
PubMed id: 35351393
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