Free Tissue Transfer in the Elderly: Incidence of Perioperative Complications following Microsurgical Reconstruction of 197 Septuagenarians and Octogenarians

Abstract

Free tissue transfer may be performed in patients over age 70 with a high degree of technical success. The procedure, however, carries a distinct risk of perioperative mortality and morbidity, particularly in patients over the age of 80. Comorbidities significantly associated with complications include age, alcohol use, coronary disease, and hypertension. This study suggests that prolonged survival may be achieved in some patients; however, a selective approach is required.