Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review
Publication date
2023-01
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.
Editors
Advisors
Supervisors
Document Type
Article
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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.
Keywords
Head and neck, Implantable Doppler, Microsurgical, Reconstruction, Ultrasonography, Doppler/methods, Monitoring, Physiologic, Prospective Studies, Humans, Retrospective Studies, Free Tissue Flaps/adverse effects, Taverne, Otorhinolaryngology, Review, Journal Article
Citation
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 2023, 'Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction : a systematic review', European Archives of Oto-Rhino-Laryngology, vol. 280, no. 1, pp. 23-37. https://doi.org/10.1007/s00405-022-07577-3