TY - JOUR
T1 - Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction
T2 - a systematic review
AU - Chiesa-Estomba, Carlos M.
AU - González-García, José A.
AU - Genden, Eric M.
AU - Piazza, Cesare
AU - Guntinas-Lichius, Orlando
AU - Vander-Poorten, Vincent
AU - Kowalski, Luiz P.
AU - López, Fernando
AU - Quer, Miquel
AU - Rodrigo, Juan P.
AU - Sanabria, Álvaro
AU - Fernández-Álvarez, Verónica
AU - Suárez, Carlos
AU - Cohen, Oded
AU - de Bree, Remco
AU - Shaha, Ashok R.
AU - Mäkitie, Antti A.
AU - Ferlito, Alfio
N1 - © 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2023/1
Y1 - 2023/1
N2 - 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.
AB - 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.
KW - Head and neck
KW - Implantable Doppler
KW - Microsurgical
KW - Reconstruction
KW - Ultrasonography, Doppler/methods
KW - Monitoring, Physiologic
KW - Prospective Studies
KW - Humans
KW - Retrospective Studies
KW - Free Tissue Flaps/adverse effects
UR - http://www.scopus.com/inward/record.url?scp=85135765016&partnerID=8YFLogxK
U2 - 10.1007/s00405-022-07577-3
DO - 10.1007/s00405-022-07577-3
M3 - Review article
C2 - 35941283
AN - SCOPUS:85135765016
SN - 0937-4477
VL - 280
SP - 23
EP - 37
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 1
ER -