scholarly journals Sarcopenia is associated with blood transfusions in head and neck cancer free flap surgery

2021 ◽  
Author(s):  
Alexander Joseph Jones ◽  
Vincent J. Campiti ◽  
Mohamedkazim Alwani ◽  
Leah J. Novinger ◽  
Brady Jay Tucker ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Blood Transfusions ◽  
Flap Surgery ◽  
Free Flap Surgery

Optimizing value in head and neck cancer free flap surgery

2019 ◽  
Vol 27 (5) ◽  
pp. 413-419 ◽  
Author(s):  
Harrison Cash ◽  
Marianne Abouyared ◽  
Jeffrey J. Houlton
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Flap Surgery ◽  
Free Flap Surgery

scholarly journals Differences between Total Intravenous Anesthesia and Inhalation Anesthesia in Free Flap Surgery of Head and Neck Cancer

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0147713 ◽  
Author(s):  
Yi-Ting Chang ◽  
Chih-Chen Wu ◽  
Tsung-Yung Tang ◽  
Chun-Te Lu ◽  
Chih-Sheng Lai ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Total Intravenous Anesthesia ◽  
Flap Surgery ◽  
Intravenous Anesthesia ◽  
Inhalation Anesthesia ◽  
Free Flap Surgery

scholarly journals Head and Neck Tumor Resection and Free Flap Reconstruction in Low-Volume Center

2020 ◽  
pp. 014556132092383
Author(s):  
Malia Brennan ◽  
Shelley Wong ◽  
Paul D. Faringer ◽  
Jae H. Lim
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Medical Center ◽  
Free Tissue Transfer ◽  
Head And Neck Tumor ◽  
Flap Surgery ◽  
Tissue Transfer ◽  
Low Volume

Objective: To determine the surgical outcomes of free tissue transfer surgery following head and neck tumor extirpation in a low-volume medical center. Methods: Retrospective chart review of patients who underwent free tissue transfer surgery for head and neck cancer at Moanalua Medical Center from 2015 to 2018. Main Outcome of Measure: Free flap failure rate and free flap-related complications. Results: From 2015 to 2018, there were 27 free tissue transfer surgery (mean 6.75 flap surgery/year). There were 2 events of partial flap necrosis, and no cases of total flap loss. One patient required leech therapy for venous congestion. One patient required additional free flap surgery. Two patients developed orocutaneous fistula that resolved with local wound care. One patient developed malocclusion following mandible reconstruction using fibular free flap. Overall free flap success rate was 96%. Conclusion: This study supports the ability of small-volume centers to produce positive outcomes with few complications in head and neck cancer free flap reconstructive surgery. While the data are limited to a single surgical team in one care center, it provides additional support for the idea that there are factors beyond the surgical volume that determine outcome.

Quality Indicators: Measurement and Predictors in Head and Neck Cancer Free Flap Patients

2018 ◽  
Vol 158 (2) ◽  
pp. 265-272 ◽  
Author(s):  
Antoine Eskander ◽  
Stephen Y. Kang ◽  
Benjamin Tweel ◽  
Jigar Sitapara ◽  
Matthew Old ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Length Of Stay ◽  
Oral Cavity ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Preoperative Assessment ◽  
Assessment Clinic ◽  
Primary Radiotherapy ◽  
The Impact

Objective To determine the predictors of length of stay (LOS), readmission within 30 days, and unplanned return to the operating room (OR) within 30 days in head and neck free flap patients. Study Design Case series with chart review. Setting Tertiary academic cancer hospital. Subjects and Methods All head and neck free flap patients at The Ohio State University (OSU, 2006-2012) were assessed. Multivariable logistic regression to assess the impact of patient factors, flap and wound factors, and intraoperative factors on the aforementioned quality metric outcomes. Results In total, 515 patients were identified, of whom 66% had oral cavity cancers, 33% had recurrent tumors, and 28% underwent primary radiotherapy. Of the patients, 31.5% had a LOS greater than 9 days, predicted by longer operative time, oral cavity and pharyngeal tumor sites, blood transfusion, diabetes mellitus, and any complication. A total of 12.6% of patients were readmitted within 30 days predicted by absent OSU preoperative assessment clinic attendance and any complication, and 14.8% of patients had an unplanned OR return predicted by advanced age. Conclusions When assessing quality metrics, adjustment for the complexity involved in managing patients with head and neck cancer with a high comorbidity index, clean contaminated wounds, and a high degree of primary radiotherapy is important. Patients seen in a preoperative assessment clinic had a lower risk of readmission postoperatively, and this should be recommended for all head and neck free flap patients. Quality improvement projects should focus on predictors and prevention of complications as this was the number one predictor of both increased length of stay and readmission.

Designing a Masterclass in free flap surgery for head and neck surgeons: Our experience

Microsurgery ◽  
2020 ◽  
Vol 40 (8) ◽  
pp. 929-929
Author(s):  
Karim Tewfik ◽  
Alfonso Manfuso ◽  
Lazzaro Cassano ◽  
Nicola Pederneschi ◽  
Chiara Copelli
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Flap Surgery ◽  
Free Flap Surgery
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