M. Stefan, L. I. Lino and G. Fernandez, “Medical Consultation and Best Practices for Preoperative Evaluation of Elderly Patients,” Hospital Practice, Vol. 39, No. 1, 2011, pp. 41-51. doi:10.3810/hp.2011.02.373

has been cited by the following article:

• TITLE: Free Anterolateral Thigh Perforator Flap for Head and Neck Cancer Resection in a Nonagenarian

  AUTHORS: Frank Lin, Damien Grinsell

  KEYWORDS: Nonagenarian; Elderly; Microsurgery; Perforator Flap; Head and Neck

  JOURNAL NAME: Modern Plastic Surgery, Vol.2 No.1, December 31, 2011

  ABSTRACT: With an aging population, free flap reconstruction for head and neck cancer ablation in the elderly is becoming more commonplace. In nonagenarians, however, such major operations are still rarely offered due to its physiological demands. We report the first case of successful resection and reconstruction of head and neck cancer with a free perforator flap in a 96 year old patient. We feel that with careful patient and flap selection, careful preoperative workup and close collaboration between treating teams, age alone should not preclude patients from receiving the best possible curative treatment and reconstruction in head and neck cancers. Even in nonagenarians, perforator free flaps, such as the anterolateral thigh flap, can be used safely to achieve good functional and aesthetic outcomes.