Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction: A systematic review Review


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
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  1. Ashok R Shaha
    697 Shaha