Perioperative Care of Free Flap Patients.
free tissue transfer
head and neck reconstruction
perioperative care
Journal
Seminars in plastic surgery
ISSN: 1535-2188
Titre abrégé: Semin Plast Surg
Pays: United States
ID NLM: 101131275
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
entrez:
14
3
2019
pubmed:
14
3
2019
medline:
14
3
2019
Statut:
ppublish
Résumé
Microvascular free tissue transfer is an indispensable reconstructive option in head and neck reconstruction. Flap failure is relatively rare, but it is nonetheless very morbid and psychologically devastating to patients when it does occur. Further, complications after free tissue transfer to the head and neck remain common. There are numerous ongoing debates about various facets of preoperative, intraoperative, and postoperative care of patients undergoing free flap reconstruction of the head and neck, all ultimately searching for the optimal treatment algorithm to further improve flap success, minimize complications, and maximize patient outcomes. Herein, the authors review current literature surrounding optimal preoperative nutritional support, intraoperative vasopressor use, perioperative fluid management, use of antithrombotic agents, antibiotic use, and other facets of the care of head and neck free flap patients to provide a guide to surgeons.
Identifiants
pubmed: 30863206
doi: 10.1055/s-0038-1676824
pii: 01184
pmc: PMC6408252
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
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