Impact of intraoperative ischemia time on acute complications of head and neck microvascular free tissue transfer: A systematic review and meta-analysis

被引：5
作者：
Politano, Stephen F. [1 ,2 ,4 ]
Balchander, Divya [3 ]
Cabrera, Claudia I. [1 ,2 ]
Thuener, Jason E. [1 ,2 ]
Teknos, Theodoros N. [1 ,2 ]
Rezaee, Rod P. [1 ,2 ]
Li, Shawn [1 ,2 ]
Fowler, Nicole [1 ,2 ]
Tamaki, Akina [1 ,2 ]
机构：
[1] Univ Hosp Cleveland Med Ctr, Dept Otolaryngol Head & Neck Surg, Cleveland Hts, OH USA
[2] Case Western Reserve Univ Sch Med, Sch Med, Cleveland Hts, OH USA
[3] Drexel Univ, Coll Med, Philadelphia, PA USA
[4] Univ Hosp Cleveland Med Ctr, Dept Otolaryngol Head & Neck Surg, 11100 Euclid Ave, Cleveland, OH 44106 USA
来源：
AMERICAN JOURNAL OF OTOLARYNGOLOGY | 2022年 / 43卷 / 03期
关键词：
Head and neck; Otolaryngology; Free tissue graft; Ischemia time; Microvascular; FREE FIBULA FLAPS; FOREARM FREE-FLAP; MANDIBULAR RECONSTRUCTION; SURGERY; DEFECTS; INJURY;
D O I：
10.1016/j.amjoto.2022.103467
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background: To evaluate the relationship between intraoperative ischemia time with acute microvascular free tissue transfer (MFTT) complications in head and neck reconstruction. Methods: A systematic review using PRISMA guidelines was performed. Inclusion encompassed all available studies published and indexed using PubMed, Medline, and Embase. Meta-analyses were performed using the Cochrane Review Manager tool. Methodological Index for Non-Randomized Studies (MINORS), the Revised Cochrane risk-of-bias tool for randomized trials, and the NIH Study Quality Assessment Tool for non-randomized prospective studies. Results: A total of 430 citations were reviewed. 25 were included in our overall qualitative analysis, and 14 for meta-analysis. When comparing ischemia times for flaps with and without complications, no significant difference was observed (p = 0.98). Additionally, in a separate cohort, no significant effect was realized when correlating ischemia time to overall rates and total complications. Conclusion: Ischemia time was not significantly different between those with and without acute flap complications.
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页数：6
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