Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck

被引：23

作者：

Cannady, Steven B. ^{[1
]}

Hatten, Kyle ^{[2
]}

Wax, Mark K. ^{[3
]}

机构：

[1] Univ Penn, Otorhinolaryngol Head & Neck Surg, 800 Walnut St,18th Floor, Philadelphia, PA 19107 USA

[2] Univ Penn, Head & Neck Surg, Dept Otorhinolaryngol Head & Neck Surg, West 34th St, Philadelphia, PA 19107 USA

[3] Oregon Hlth & Sci Univ, Dept Otolaryngol, Portland, OR 97239 USA

来源：

FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA | 2016年 / 24卷 / 03期

关键词：

Free flap; Head and neck defect; Anticoagulation; Fluid management; Flap monitoring; MICROSURGICAL BREAST RECONSTRUCTION; VENOUS THROMBOEMBOLISM; DAHANCA DATABASE; CANCER PATIENTS; OTOLARYNGOLOGY; COMORBIDITY; THROMBOSIS; COMPROMISE;

D O I：

10.1016/j.fsc.2016.03.007

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Free tissue transfer is the gold standard for reconstructing head and neck defects. Free flap success approaches 95% in centers with experience, affording unparalleled ability to restore form and function in cancer, trauma, or other major composite tissue loss. It is critical to manage the perioperative variables that predict success; several areas of controversy have not yet reached consensus. This review focuses on postoperative anticoagulation, fluid management, and flap monitoring methods. These areas of controversy potentially influence flap survival. We review published practices considered within the standard of care, why controversy remains, and future directions to reach standardization.

引用

页码：309 / +

页数：8

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