scholarly journals Postoperative care in an intermediate-level medical unit after head and neck microvascular free flap reconstruction

2018 ◽  
Vol 4 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Phoebe K. Yu ◽  
Rosh K.V. Sethi ◽  
Vinay Rathi ◽  
Sidharth V. Puram ◽  
Derrick T. Lin ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Postoperative Care ◽  
Intermediate Level ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Medical Unit ◽  
Microvascular Free Flap

scholarly journals Postoperative care in microvascular free flap reconstruction of the lower extremity: A systematic review

2020 ◽  
Vol 1-2 ◽  
pp. 21-26
Author(s):  
David D. Krijgh ◽  
Milou M.E. van Straeten ◽  
Marc A.M. Mureau ◽  
Antonius J.M. Luijsterburg ◽  
Pascal P.A. Schellekens ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Free Flap ◽  
Postoperative Care ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Microvascular Free Flap

scholarly journals Antibiotic prophylaxis in clean-contaminated head and neck cases with microvascular free flap reconstruction: A systematic review and meta-analysis

Head & Neck ◽  
2017 ◽  
Vol 40 (2) ◽  
pp. 417-427 ◽  
Author(s):  
Yarah M. Haidar ◽  
Prem B. Tripathi ◽  
Tjoson Tjoa ◽  
Sartaaj Walia ◽  
Lishi Zhang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antibiotic Prophylaxis ◽  
Head And Neck ◽  
Free Flap ◽  
Meta Analysis ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Clean Contaminated ◽  
Microvascular Free Flap

Head and neck microvascular free flap reconstruction: An analysis of unplanned readmissions

2016 ◽  
Vol 127 (2) ◽  
pp. 325-330 ◽  
Author(s):  
Eric T. Carniol ◽  
Emily Marchiano ◽  
Jacob S. Brady ◽  
Aziz M. Merchant ◽  
Jean Anderson Eloy ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Microvascular Free Flap

scholarly journals Six-year experience of microvascular free-flap reconstruction of head and neck neoplasms

2021 ◽  
Vol 78 (4) ◽  
pp. 335-339
Author(s):  
Santiago Olguín Joseau ◽  
Ariel Arias ◽  
Juan Carlos Sánchez ◽  
Pablo Valle ◽  
Agustín Garzón Bertola ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Head And Neck ◽  
Free Flap ◽  
Head And Neck Neoplasms ◽  
Site Infection ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Surgical Time ◽  
Microvascular Free Flap

Introduction: Microvascular free-flap reconstruction is one of the treatment options after large resection of head and neck neoplasms. The objectives of this study are to identify short-term outcomes and risk factors for flap complication in patients who underwent neoplasms resection of head and neck with microvascular free-flap reconstruction. Methods: Retrospective study of patients who underwent surgery for head and neck neoplasm with microvascular free-flap reconstruction between January 2014-2020. Complications were studied at 30-days follow-up and divided into medical and flap complications. Factors independently associated with flap complication were analyzed. Results: We included 31 patients (15 men). The mean age was 60 years. Reconstruction was performed with radial-forearm flap in 74% (n=23) and with free-fibula flap in 26% (n=8). Mean surgical time was 420 minutes. Median hospital length of stay was 7 days. Medical complications were of 23%. Minor complications were of 35% and major of 32%. There was no mortality in 30-days follow-up. Flap complications were of 35%. Reintervention was of 29%, surgical site infection of 9%, dehiscence of 29% and flap loss of 9.7%.  Surgical site infection was independently associated with prolonged surgical time (Odds ratio [OR]=1.03, IC95%=0.98-1.04, p=0.02) and body mass index equal to or greater than 30 (OR=1.38, IC95%=0.84-2.26, p=0.04) while flap loss was associated with prolonged surgical time (OR=1.02, IC95%=0.99-1.04, p=0.01). Conclusion: Microsurgical free-flap reconstruction should be considered in our population in patients with large head and neck neoplasms. Preoperative assessment of the risk of postoperative complications is essential before selecting patients for this surgery.

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