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

Autor: Chiesa-Estomba CM; Otorhinolaryngology-Head and Neck Surgery Department, Hospital Universitario Donostia, Calle Doctor Begiristain #1, 20014, Donostia-San Sebastian, Guipuzkoa-Basque Country, Spain. chiesaestomba86@gmail.com.; Otorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, C/Mas Casanovas, 90, 08041, Barcelona, Spain. chiesaestomba86@gmail.com., González-García JA; Biodonostia Research Institute, San Sebastian, Guipuzkoa-Basque Country, Spain., Genden EM; Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Piazza C; Department of Otorhinolaryngology-Head and Neck Surgery, University of Brescia, Brescia, Italy., Guntinas-Lichius O; HNO-Klinik, Universitätsklinikum Jena, Jena, Germany., Vander-Poorten V; Department of Oncology, Section Head and Neck Oncology, KU Leuven, Leuven, Belgium.; Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium., Kowalski LP; Head and Neck Surgery and Otorhinolarynglology Department, A C Camargo Cancer Center, and Head and Neck Surgery Department, University of São Paulo Medical School, São Paulo, Brazil., López F; Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain.; Department of Otolaryngology, Hospital Universitario Central de Asturias, Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, CIBERONC, Oviedo, Spain., Quer M; Otorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, C/Mas Casanovas, 90, 08041, Barcelona, Spain.; Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Madrid, Spain., Rodrigo JP; Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain.; Department of Otolaryngology, Hospital Universitario Central de Asturias, Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, CIBERONC, Oviedo, Spain., Sanabria Á; Department of Surgery, School of Medicine, Universidad de Antioquia/Hospital Universitario San Vicente Fundación, 050010, Medellín, Colombia.; CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello, 050021, Medellín, Colombia., Fernández-Álvarez V; Department of Vascular Surgery, Hospital Universitario de Cabueñes, Gijón, Spain., Suárez C; Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain., Cohen O; ARM-Center for Otolaryngology-Head and Neck Surgery and Oncology, Assuta Medical Center, Tel Aviv, Affiliated with Ben Gurion University, Beer Sheva, Israel., de Bree R; Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands., Shaha AR; Head and Neck Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA., Mäkitie AA; Department of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Ferlito A; International Head and Neck Scientific Group, Padua, Italy.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2023 Jan; Vol. 280 (1), pp. 23-37. Date of Electronic Publication: 2022 Aug 08.
DOI: 10.1007/s00405-022-07577-3
Abstrakt: 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.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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