Journal article
Microsurgical reconstruction of the head and neck--current concepts of maxillofacial surgery in Europe.
- Kansy K Department of Oral and Maxillofacial Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. Electronic address: katinka.kansy@med.uni-heidelberg.de.
- Mueller AA Department of Oral and Maxillofacial Surgery, Universitätsspital Basel, University of Basel, Basel, Switzerland.
- Mücke T Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, Munich, Germany.
- Kopp JB Department of Oral and Maxillofacial Surgery, Universitätsspital Basel, University of Basel, Basel, Switzerland.
- Koersgen F Department of Oral and Maxillofacial Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
- Wolff KD Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, Munich, Germany.
- Zeilhofer HF Department of Oral and Maxillofacial Surgery, Universitätsspital Basel, University of Basel, Basel, Switzerland.
- Hölzle F Department of Oral and Maxillofacial Surgery, Aachen University Hospital, Aachen, Germany.
- Pradel W Department of Oral and Maxillofacial Surgery, Dresden University Hospital, Dresden, Germany.
- Schneider M Department of Oral and Maxillofacial Surgery, Dresden-Neustadt Hospital, Dresden, Germany.
- Kolk A Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, Munich, Germany.
- Smeets R Department of Oral and Maxillofacial Surgery, Hamburg University Hospital, Hamburg-Eppendorf, Germany.
- Acero J Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, University of Alcala, Madrid, Spain.
- Hoffmann J Department of Oral and Maxillofacial Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
- 2014-06-24
Published in:
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. - 2014
Drug therapy
Europe
Free tissue flaps
Microsurgery
Operative surgical procedure
Peri- and postoperative management
Anastomosis, Surgical
Anticoagulants
Bone Transplantation
Clinical Competence
Europe
Free Tissue Flaps
Graft Survival
Head and Neck Neoplasms
Hospitals, University
Humans
Intraoperative Care
Microsurgery
Monitoring, Physiologic
Muscle, Skeletal
Oral Surgical Procedures
Postoperative Care
Postoperative Complications
Reconstructive Surgical Procedures
Reoperation
Vascular Surgical Procedures
English
INTRODUCTION
Microvascular surgery following tumour resection has become an important field of oral maxillofacial surgery (OMFS). This paper aims to evaluate current microsurgical practice in Europe.
METHODS
The questionnaire of the DOESAK collaborative group for Microsurgical Reconstruction was translated into English, transformed into an online based survey and distributed to 200 OMFS units with the aid of the European Association for Cranio-Maxillo-Facial Surgery (EACMFS).
RESULTS
65 complete and 72 incomplete questionnaires were returned. Hospitals from the United Kingdom, France, Italy, the Netherlands, Spain, Belgium, Greece, Slovenia and Lithuania participated. 71% of contributing centres were university hospitals, 87% out of these perform microvascular tumour surgery at least on a two-weekly base. Overall complication rate was at around five percent. Most frequently used transplants were the radial forearm flap and the fibular flap. The perioperative management varied widely. Success factors for flap survival, however, were uniformly rated, with the surgical skill being the most important factor, followed by the quality of postoperative management. Medication seems to play a less important role.
CONCLUSION
Within Europe microvascular surgery is a common and safe procedure for maxillofacial reconstructive surgery in the field of OMFS. While there is a major accordance for the surgical procedure itself and the most frequently used flaps, perioperative management shows a wide variety of protocols with low presumed impact on surgical outcome.
Microvascular surgery following tumour resection has become an important field of oral maxillofacial surgery (OMFS). This paper aims to evaluate current microsurgical practice in Europe.
METHODS
The questionnaire of the DOESAK collaborative group for Microsurgical Reconstruction was translated into English, transformed into an online based survey and distributed to 200 OMFS units with the aid of the European Association for Cranio-Maxillo-Facial Surgery (EACMFS).
RESULTS
65 complete and 72 incomplete questionnaires were returned. Hospitals from the United Kingdom, France, Italy, the Netherlands, Spain, Belgium, Greece, Slovenia and Lithuania participated. 71% of contributing centres were university hospitals, 87% out of these perform microvascular tumour surgery at least on a two-weekly base. Overall complication rate was at around five percent. Most frequently used transplants were the radial forearm flap and the fibular flap. The perioperative management varied widely. Success factors for flap survival, however, were uniformly rated, with the surgical skill being the most important factor, followed by the quality of postoperative management. Medication seems to play a less important role.
CONCLUSION
Within Europe microvascular surgery is a common and safe procedure for maxillofacial reconstructive surgery in the field of OMFS. While there is a major accordance for the surgical procedure itself and the most frequently used flaps, perioperative management shows a wide variety of protocols with low presumed impact on surgical outcome.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.jcms.2014.04.030
- PMID 24954764
- Persistent URL
- https://sonar.ch/global/documents/90498
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