Complications related to the Cook-Swarz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review
Por:
Chiesa-Estomba C.M., González-García J.A., Genden E.M., Piazza C., Guntinas-Lichius O., Vander-Poorten V., Kowalski L.P., López F., Quer M., Rodrigo J.P., Sanabria Á., Fernández-Álvarez V., Suárez C., Cohen O., de Bree R., Shaha A.R., Makitie, AA, Ferlito A.
Publicada:
1 ene 2023
Ahead of Print:
1 ago 2022
Resumen:
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.
Filiaciones:
Chiesa-Estomba C.M.:
Hosp Univ Donostia, Otorhinolaryngol Head & Neck Surg Dept, Calle Doctor Begiristain 1, Donostia San Sebastian 20014, Guipuzkoa Basqu, Spain
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Otorhinolaryngol Dept, C Mas Casanovas 90, Barcelona 08041, Spain
González-García J.A.:
Biodonostia Res Inst, San Sebastian, Guipuzkoa Basqu, Spain
Genden E.M.:
Icahn Sch Med Mt Sinai, Dept Otolaryngol Head & Neck Surg, New York, NY 10029 USA
Piazza C.:
Univ Brescia, Dept Otorhinolaryngol Head & Neck Surg, Brescia, Italy
Guntinas-Lichius O.:
Univ Klinikum Jena, HNO Klin, Jena, Germany
Vander-Poorten V.:
Katholieke Univ Leuven, Sect Head & Neck Oncol, Dept Oncol, Leuven, Belgium
Univ Hosp Leuven, Leuven Canc Inst, Otorhinolaryngol Head & Neck Surg, Leuven, Belgium
Kowalski L.P.:
Univ Sao Paulo, Med Sch, Head & Neck Surg & Otorhinolarynglol Dept, AC Camargo Canc Ctr, Sao Paulo, Brazil
Univ Sao Paulo, Med Sch, Head & Neck Surg Dept, Sao Paulo, Brazil
López F.:
Inst Invest Sanitaria Principado Asturias, Oviedo, Spain
Univ Oviedo, CIBERONC, Inst Univ Oncol Principado Asturias, Hosp Univ Cent Asturias,Dept Otolaryngol, Oviedo, Spain
Quer M.:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Otorhinolaryngol Dept, C Mas Casanovas 90, Barcelona 08041, Spain
Ctr Invest Biomed Red Bioingn Biomat & Nanomed CI, Madrid, Spain
Rodrigo J.P.:
Inst Invest Sanitaria Principado Asturias, Oviedo, Spain
Univ Oviedo, CIBERONC, Inst Univ Oncol Principado Asturias, Hosp Univ Cent Asturias,Dept Otolaryngol, Oviedo, Spain
Sanabria Á.:
Univ Antioquia, Hosp Univ San Vicente Fdn, Sch Med, Dept Surg, Medellin 050010, Colombia
CEXCA Ctr Excelencia Enfermedades Cabeza & Cuello, Medellin 050021, Colombia
Fernández-Álvarez V.:
Hosp Univ Cabuenes, Dept Vasc Surg, Gijon, Spain
Suárez C.:
Inst Invest Sanitaria Principado Asturias, Oviedo, Spain
Cohen O.:
Assuta Med Ctr, ARM Ctr Otolaryngol Head & Neck Surg & Oncol, Tel Aviv, Israel
Ben Gurion Univ Negev, Beer Sheva, Israel
de Bree R.:
Univ Med Ctr Utrecht, Dept Head & Neck Surg Oncol, Utrecht, Netherlands
Shaha A.R.:
Mem Sloan Kettering Canc Ctr, Dept Surg, Head & Neck Serv, 1275 York Ave, New York, NY 10021 USA
Makitie, AA:
Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland
Helsinki Univ Hosp, Helsinki, Finland
Ferlito A.:
Int Head & Neck Sci Grp, Padua, Italy
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