Current practices in microvascular reconstruction in otolaryngology–head and neck surgery

Kovatch, Kevin J.; Hanks, John E.; Stevens, Jayne R.; Stucken, Chaz L.

doi:10.1002/lary.27257

Cited by 45 publications

(40 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In situations where the defect has been deemed to be borderline and there is low risk of communication with the neck wound, for example, a partial glossectomy defect, another option could be skin graft reconstruction, primary closure or delayed healing. When free tissue transfer reconstruction is needed, a two‐team approach with simultaneous starts can lead to decreased operative time, and anesthesia time, while also allowing each team to focus on a particular element of the case 25 . This appears to be the case in the United States where 98.5% of programs report a two‐team approach at least some of the time, and has been widely adopted in 82% of hospitals in the United Kingdom 25,26 …”

Section: Perioperative Considerationsmentioning

confidence: 99%

Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era

et al. 2020

View full text Add to dashboard Cite

Background: The novel coronavirus 2019 (COVID-19) pandemic has changed health care, challenged by resource constraints and fears of transmission. We report the surgical practice pattern changes in a Head and Neck Surgery department of a tertiary cancer care center and discuss the issues surrounding multidisciplinary care during the pandemic. Methods:We report data regarding outpatient visits, multidisciplinary treatment planning conference, surgical caseload, and modifications of oncologic therapy during this pandemic and compared this data to the same interval last year. Results: We found a 46.7% decrease in outpatient visits and a 46.8% decrease in surgical caseload, compared to 2019. We discuss the factors involved in the decision-making process and perioperative considerations.Conclusions: Surgical practice patterns in head and neck oncologic surgery will continue to change with the evolving pandemic. Despite constraints, we strive to prioritize and balance the oncologic and safety needs of patients with head and neck cancer in the face of COVID-19. K E Y W O R D S oncology, otolaryngology, SARS-CoV2

show abstract

Section: Perioperative Considerationsmentioning

confidence: 99%

Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Pedicled locoregional flaps were the first workhorse flaps for reconstructing head and neck defects [1][2][3] , but have largely been replaced by free flaps. As our understanding of surgical and anatomic considerations improves, microvascular free tissue transfer has become the gold standard for reconstruction with success rates around 95% [4][5][6][7][8] . However, there are many situations where pedicled locoregional flaps still have merit.…”

Section: Introductionmentioning

confidence: 99%

Revisiting pedicled latissimus dorsi flaps in head and neck reconstruction: contrasting shoulder morbities across mysofascial flaps

Feng¹,

Nasser²,

Rosko³

et al. 2021

PAR

Self Cite

View full text Add to dashboard Cite

show abstract

“…A recent survey of otolaryngologists who perform microsurgical reconstruction surprisingly showed that almost double the proportion of surgeons will perform the entire ablation and reconstruction by themselves as opposed utilizing the two-team approach with a surgeon outside their specialty. 15 It is unclear if this is due to necessity or preference; however, further research should investigate what prohibits and allows us to work together effectively, as well as how collaboration, or lack thereof, affects research and patient care.…”

Section: Discussionmentioning

confidence: 99%

Breaking Down Silos: Collaboration in Head and Neck Reconstruction Research

Silva

Rodriguez

Jacobson

et al. 2020

J Reconstr Microsurg

View full text Add to dashboard Cite

Background Collaboration has been shown to be beneficial when we have complex problems and highly specialized groups, such as in head and neck reconstruction. Otolaryngology, plastic surgery, and oral maxillofacial surgeons perform head and neck reconstruction research. While the specialties represent unique backgrounds, the degree of interdisciplinary collaboration and subtopic focus is unknown. We sought to describe the frequency of interinstitutional interdisciplinary collaboration and examine the association of specialty with research subtopics. Methods Oral presentations from 2014 to 2018 focused on head and neck reconstruction or associated principles at the main reconstructive academic meetings in otolaryngology (American Head and Neck Society), plastic surgery (American Society for Reconstructive Microsurgery), and oral maxillofacial surgery (American Association of Oral and Maxillofacial Surgeons) were reviewed. Author specialty and institution data were recorded. All abstracts were assigned a research subtopic, chosen based on identified themes. Subtopic frequencies among the specialties were compared. Results Thirteen of 88 (15%) US institutions participate in interdisciplinary collaboration in head and neck reconstruction research. Of the remaining institutions, 23 (31%) have researchers performing parallel work and not collaborating. Certain research subtopics were more often presented by each specialty, representing differing interests. Conclusion Collaboration among head and neck reconstruction research at the US institutions is low compared with the potential. Specialties focus on different research subtopics, and therefore can benefit from working together.

show abstract

Current practices in microvascular reconstruction in otolaryngology–head and neck surgery

Abstract: NA Laryngoscope, 2018.

Cited by 45 publications

References 32 publications

Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era

Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era

Revisiting pedicled latissimus dorsi flaps in head and neck reconstruction: contrasting shoulder morbities across mysofascial flaps

Breaking Down Silos: Collaboration in Head and Neck Reconstruction Research

Contact Info

Product

Resources

About