Complications related to the Cook-Swarz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review

被引:3
|
作者
Chiesa-Estomba, Carlos M. [1 ,10 ]
Gonzalez-Garcia, Jose A. [2 ]
Genden, Eric M. [3 ]
Piazza, Cesare [4 ]
Guntinas-Lichius, Orlando [5 ]
Vander-Poorten, Vincent [6 ,20 ]
Kowalski, Luiz P. [7 ,8 ]
Lopez, Fernando [9 ,21 ]
Quer, Miquel [10 ,22 ]
Rodrigo, Juan P. [9 ,21 ]
Sanabria, Alvaro [11 ,23 ]
Fernandez-Alvarez, Veronica [12 ]
Suarez, Carlos [9 ]
Cohen, Oded [13 ,14 ]
de Bree, Remco [15 ]
Shaha, Ashok R. [16 ]
Makitie, Antti A. [17 ,18 ]
Ferlito, Alfio [19 ]
机构
[1] Hosp Univ Donostia, Otorhinolaryngol Head & Neck Surg Dept, Calle Doctor Begiristain 1, Donostia San Sebastian 20014, Guipuzkoa Basqu, Spain
[2] Biodonostia Res Inst, San Sebastian, Guipuzkoa Basqu, Spain
[3] Icahn Sch Med Mt Sinai, Dept Otolaryngol Head & Neck Surg, New York, NY 10029 USA
[4] Univ Brescia, Dept Otorhinolaryngol Head & Neck Surg, Brescia, Italy
[5] Univ Klinikum Jena, HNO Klin, Jena, Germany
[6] Katholieke Univ Leuven, Sect Head & Neck Oncol, Dept Oncol, Leuven, Belgium
[7] Univ Sao Paulo, Med Sch, Head & Neck Surg & Otorhinolarynglol Dept, AC Camargo Canc Ctr, Sao Paulo, Brazil
[8] Univ Sao Paulo, Med Sch, Head & Neck Surg Dept, Sao Paulo, Brazil
[9] Inst Invest Sanitaria Principado Asturias, Oviedo, Spain
[10] Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Otorhinolaryngol Dept, C Mas Casanovas 90, Barcelona 08041, Spain
[11] Univ Antioquia, Hosp Univ San Vicente Fdn, Sch Med, Dept Surg, Medellin 050010, Colombia
[12] Hosp Univ Cabuenes, Dept Vasc Surg, Gijon, Spain
[13] Assuta Med Ctr, ARM Ctr Otolaryngol Head & Neck Surg & Oncol, Tel Aviv, Israel
[14] Ben Gurion Univ Negev, Beer Sheva, Israel
[15] Univ Med Ctr Utrecht, Dept Head & Neck Surg Oncol, Utrecht, Netherlands
[16] Mem Sloan Kettering Canc Ctr, Dept Surg, Head & Neck Serv, 1275 York Ave, New York, NY 10021 USA
[17] Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland
[18] Helsinki Univ Hosp, Helsinki, Finland
[19] Int Head & Neck Sci Grp, Padua, Italy
[20] Univ Hosp Leuven, Leuven Canc Inst, Otorhinolaryngol Head & Neck Surg, Leuven, Belgium
[21] Univ Oviedo, CIBERONC, Inst Univ Oncol Principado Asturias, Hosp Univ Cent Asturias,Dept Otolaryngol, Oviedo, Spain
[22] Ctr Invest Biomed Red Bioingn Biomat & Nanomed CI, Madrid, Spain
[23] CEXCA Ctr Excelencia Enfermedades Cabeza & Cuello, Medellin 050021, Colombia
关键词
Implantable Doppler; Head and neck; Microsurgical; Reconstruction; FREE-FLAP RECONSTRUCTION; BURIED FREE FLAPS; EXPERIENCE; REEXPLORATION; TRANSFERS;
D O I
10.1007/s00405-022-07577-3
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Purpose Vascular perfusion research has been dedicated to identify inexpensive, effective, and easy to use methods to assess free flap perfusion for both buried and non-buried flaps. Methods Systematic review of complications in patients underwent Head and Neck microsurgical reconstruction and vascular implantable Doppler monitoring. Results Sixteen articles were included for qualitative analysis. 2535 (92.2%) patients received IDP monitorization. Venous thrombosis was the most common vascular complication effecting 28 (1.1%). Regarding complications potentially related to the use of the IDP, just one study described the presence of granuloma formation along the suture line in 2 (0.07%) patients. Conclusions Our findings indicated that Cook-Swartz IDP will represents a safe and effective device for FF monitoring in HN reconstructive micro-surgery. A detailed prospective registration of the results and complications related to the use of IDP remains mandatory to precisely estimate results, cost, and complications.
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收藏
页码:23 / 37
页数:15
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