Microvascular replantation of head and neck amputated parts: A systematic review

Abstract Objective Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures. Methods Ovid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata. Results This search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA. Conclusions This systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs. Graphical abstract

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Incidence of Oral Mucositis in Patients Undergoing Head and Neck Cancer Treatment: Systematic Review and Meta-Analysis

Medical Sciences Forum ◽

10.3390/msf2021005023 ◽

2021 ◽

Vol 5 (1) ◽

pp. 23

Author(s):

Raquel Pacheco ◽

Maria Alzira Cavacas ◽

Paulo Mascarenhas ◽

Pedro Oliveira ◽

Carlos Zagalo

Keyword(s):

Systematic Review ◽

Head And Neck Cancer ◽

Oral Health ◽

Cancer Treatment ◽

Head And Neck ◽

Neck Cancer ◽

Oral Mucositis ◽

Negative Impact ◽

Meta Analysis ◽

Incidence Rates

This systematic review and meta-analysis aimed to assess the literature about the incidence of oral mucositis and its degrees (mild, moderate, and severe), in patients undergoing head and neck cancer treatment (radiotherapy, chemotherapy, and surgery). Addressing this issue is important since oral mucositis has a negative impact on oral health and significantly deteriorates the quality of life. Therefore, a multidisciplinary team, including dentists, should be involved in the treatment. The overall oral mucositis incidence was 89.4%. The global incidence for mild, moderate, and severe degrees were 16.8%, 34.5%, and 26.4%, respectively. The high incidence rates reported in this review point out the need for greater care in terms of the oral health of these patients.

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Impact of Close Margins in Head and Neck Mucosal Squamous Cell Carcinoma: A Systematic Review

The Laryngoscope ◽

10.1002/lary.29690 ◽

2021 ◽

Author(s):

Justin Hamman ◽

Carol L. Howe ◽

Mark Borgstrom ◽

Audrey Baker ◽

Steven J. Wang ◽

...

Keyword(s):

Systematic Review ◽

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Squamous Cell

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Therapeutic Strategies for Untreated Capillary Malformations of the Head and Neck Region: A Systematic Review and Meta-Analyses

American Journal of Clinical Dermatology ◽

10.1007/s40257-021-00616-5 ◽

2021 ◽

Author(s):

Gonca Cinkara ◽

Ginger Beau Langbroek ◽

Chantal M. A. M. van der Horst ◽

Albert Wolkerstorfer ◽

Sophie E. R. Horbach ◽

...

Keyword(s):

Systematic Review ◽

Head And Neck ◽

Neck Region ◽

Therapeutic Strategies ◽

Head And Neck Region ◽

Meta Analyses

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