Authors: | 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.; Mäkitie, A. A.; Ferlito, A. |
Review Title: | Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction: A systematic review |
Abstract: | 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. © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. |
Keywords: | retrospective studies; prospective study; prospective studies; vascularization; retrospective study; free tissue graft; reconstruction; head and neck; ultrasonography, doppler; adverse event; monitoring, physiologic; free tissue flaps; procedures; microsurgical; physiologic monitoring; humans; human; doppler ultrasonography; implantable doppler |
Journal Title: | European Archives of Oto-Rhino-Laryngology |
Volume: | 280 |
Issue: | 1 |
ISSN: | 0937-4477 |
Publisher: | Springer |
Date Published: | 2023-01-01 |
Start Page: | 23 |
End Page: | 37 |
Language: | English |
DOI: | 10.1007/s00405-022-07577-3 |
PUBMED: | 35941283 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Review -- Export Date: 1 February 2023 -- Source: Scopus |