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Mucke T et al. – Reconstruction of defects, especially in patients presenting with higher tumor stages, is not associated with shorter overall survival rates, as revealed in this study, and should be considered when functional deficits due to tumor ablation can be expected postoperatively.


Exclusive Author Commentary
Thomas Mücke, 10/24/09

This article was initially thought to analyze tumor related factors. Surprisingly microsurgical free flap surgery seems to be an independent prognostic factor and justifies long-lasting operations which are associated with the following advantages: 1. reconstruction and rehabilitation of patients 2. increasing the quality of life 3. immeadiate reconstruction is easier than a second stage procedure with the presence of scars 4. wound healing is shorter 5. most important: The overall survival is increased. From the surgical point of view there seem to be some more advantages, but this is the first article which shows that tumor patients benefit from reconstructive preocedures, although associated complications and morbidities should be kept in mind.

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