scholarly journals Free Tissue Transfer to the Head and Neck for Patients with a History of Prior Neck surgery

2005 ◽  
Vol 15 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Kazuhiko Yokoshima ◽  
Munenaga Nakamizo ◽  
Ken-ichi Shimada ◽  
Chika Ozu ◽  
Mizue Aida ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Neck Surgery ◽  
Tissue Transfer ◽  
History Of

Early enteral nutrition after head and neck surgery with free tissue transfer reconstruction

2021 ◽  
Author(s):  
Takayuki Imai ◽  
Satoshi Saijo ◽  
Keitaro Fujii ◽  
Akira Nakazato ◽  
Kazuki Nakamura ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Head And Neck ◽  
Free Tissue Transfer ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Early Enteral Nutrition ◽  
Tissue Transfer

Vascularized free-tissue transfer in head and neck surgery

1993 ◽  
Vol 14 (3) ◽  
pp. 148-154 ◽  
Author(s):  
Kenneth C. Shestak ◽  
Eugene N. Myers ◽  
Sai S. Ramasastry ◽  
Neil Ford Jones ◽  
Jonas T. Johnson
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Tissue Transfer

Utilization of Free Tissue Transfer in Head and Neck Surgery

2007 ◽  
Vol 137 (2) ◽  
pp. 182-191 ◽  
Author(s):  
Russell B. Smith ◽  
Joseph C. Sniezek ◽  
Donald T. Weed ◽  
Mark K. Wax
Keyword(s):  
Head And Neck ◽  
New Technologies ◽  
Positive Impact ◽  
Free Tissue Transfer ◽  
Neck Surgery ◽  
Priority List ◽  
Composite Tissue ◽  
Tissue Transfer ◽  
Pubmed Search ◽  
Oropharyngeal Reconstruction

OBJECTIVE: Free tissue transfer is frequently incorporated into the reconstructive algorithm for a multitude of defects in the head and neck. With the increasing usage of free tissue transfer we undertook to review the most current advances in the field. DATA SOURCES: PubMed search of all pertinent articles as they related to oropharyngeal reconstruction, flap choice, new technologies and techniques, and outcomes. Articles were chosen based on reviewer selection. METHODS: The microvascular committee met and discussed the current important topics in free tissue transfer. A priority list was created and ranked. Topics were assigned to the authors who conducted a narrative review of the literature. RESULTS: Free tissue transfer has evolved to the point where a limited number of specific flaps are now utilized for most defects. Composite tissue is used to reconstruct composite defects. The coupling device and implantable Doppler are demonstrating a positive impact on flap survival and efficiency. Finally, outcomes in terms of quality of life, swallowing, and return to function have been shown to improve with the use of free tissue transfer. CONCLUSION: Free tissue transfer continues to be the reconstructive modality of choice for head and neck defects.

scholarly journals History of otorhinolaryngology in Germany before 1921

HNO ◽  
2021 ◽  
Vol 69 (5) ◽  
pp. 338-365
Author(s):  
Albert Mudry ◽  
Robert Mlynski ◽  
Burkhard Kramp
Keyword(s):  
Head And Neck ◽  
19Th Century ◽  
Neck Surgery ◽  
German Society ◽  
100Th Anniversary ◽  
Head And Neck Surgery ◽  
History Of ◽  
Academic Organization ◽  
The 19Th Century ◽  
Made In

AbstractIn 2021, the German Society of Otorhinolaryngology, Head and Neck Surgery is celebrating the 100th anniversary of its foundation. The aim of this article is to present the main inventions and progress made in Germany before 1921, the date the society was founded. Three chronological periods are discernible: the history of otorhinolaryngology (ORL) in Germany until the beginning of the 19th century, focusing mainly on the development of scattered knowledge; the birth of the sub-specialties otology, laryngology (pharyngo-laryngology and endoscopy), and rhinology in the 19th century, combining advances in knowledge and implementation of academic structures; and the creation of the ORL specialty at the turn of the 20th century, mainly concentrating on academic organization and expansion. This period was crucial and allowed for the foundation of the German Society of Otorhinolaryngology, Head and Neck Surgery on solid ground. Germany played an important role in the development and progress of ORL internationally in the 19th century with such great contributors as Anton von Tröltsch, Hermann Schwartze, Otto Körner, Rudolf Voltolini, and Gustav Killian to mention a few.

scholarly journals Mechanical Anastomotic Coupling Device versus Hand-sewn Venous Anastomosis in Head and Neck Reconstruction—An Analysis of 1694 Venous Anastomoses

2021 ◽  
Vol 54 (02) ◽  
pp. 118-123
Author(s):  
Rajan Arora ◽  
Kripa Shanker Mishra ◽  
Hemant T. Bhoye ◽  
Ajay Kumar Dewan ◽  
Ravi K. Singh ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Head And Neck ◽  
Free Tissue Transfer ◽  
Effective Alternative ◽  
Head And Neck Reconstruction ◽  
Venous Anastomosis ◽  
Neck Reconstruction ◽  
Coupling Device ◽  
Tissue Transfer ◽  
Flap Loss

Abstract Background There is a steep learning curve to attain a consistently good result in microvascular surgery. The venous anastomosis is a critical step in free-tissue transfer. The margin of error is less and the outcome depends on the surgeon’s skill and technique. Mechanical anastomotic coupling device (MACD) has been proven to be an effective alternative to hand-sewn (HS) technique for venous anastomosis, as it requires lesser skill. However, its feasibility of application in emerging economy countries is yet to be established. Material and Method We retrospectively analyzed the data of patients who underwent free-tissue transfer for head and neck reconstruction between July 2015 and October 2020. Based on the technique used for the venous anastomosis, the patients were divided into an HS technique and MACD group. Patient characteristics and outcomes were measured. Result A total of 1694 venous anastomoses were performed during the study period. There were 966 patients in the HS technique group and 719 in the MACD group. There was no statistically significant difference between the two groups in terms of age, sex, prior radiotherapy, prior surgery, and comorbidities. Venous thrombosis was noted in 62 (6.4%) patients in the HS technique group and 7 (0.97%) in the MACD group (p = 0.000). The mean time taken for venous anastomosis in the HS group was 17 ± 4 minutes, and in the MACD group, it was 5 ± 2 minutes (p = 0.0001). Twenty-five (2.56%) patients in the HS group and 4 (0.55%) patients in MACD group had flap loss (p = 0.001). Conclusion MACD is an effective alternative for HS technique for venous anastomosis. There is a significant reduction in anastomosis time, flap loss, and return to operation theater due to venous thrombosis. MACD reduces the surgeon’s strain, especially in a high-volume center. Prospective randomized studies including economic analysis are required to prove the cost-effectiveness of coupler devices.

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