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

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 vascu...

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Published in:European archives of oto-rhino-laryngology 2023, Vol.280 (1), p.23-37
Main Authors: Chiesa-Estomba, Carlos M., González-García, José A., Genden, Eric M., Piazza, Cesare, Guntinas-Lichius, Orlando, Vander-Poorten, Vincent, Kowalski, Luiz P., López, Fernando, Quer, Miquel, Rodrigo, Juan P., Sanabria, Álvaro, Fernández-Álvarez, Verónica, Suárez, Carlos, Cohen, Oded, de Bree, Remco, Shaha, Ashok R., Mäkitie, Antti A., Ferlito, Alfio
Format: Article
Language:English
Subjects:
Free Tissue Flaps - adverse effects
Free Tissue Flaps - blood supply
Head and Neck Surgery
Humans
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Monitoring, Physiologic
Neurosurgery
Otorhinolaryngology
Prospective Studies
Retrospective Studies
Review Article
Ultrasonography, Doppler - methods
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Summary: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.
ISSN:0937-4477
1434-4726
1434-4726
DOI:10.1007/s00405-022-07577-3