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

Carlos M. Chiesa-Estomba*, José A. González-García, Eric M. Genden, Cesare Piazza, Orlando Guntinas-Lichius, Vincent Vander-Poorten, Luiz P. Kowalski, Fernando López, Miquel Quer, Juan P. Rodrigo, Álvaro Sanabria, Verónica Fernández-Álvarez, Carlos Suárez, Oded Cohen, Remco de Bree, Ashok R. Shaha, Antti A. Mäkitie, Alfio Ferlito

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish
Pages (from-to)23-37
Number of pages15
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume280
Issue number1
DOIs
Publication statusPublished - Jan 2023

Keywords

  • Head and neck
  • Implantable Doppler
  • Microsurgical
  • Reconstruction
  • Ultrasonography, Doppler/methods
  • Monitoring, Physiologic
  • Prospective Studies
  • Humans
  • Retrospective Studies
  • Free Tissue Flaps/adverse effects

Fingerprint

Dive into the research topics of 'Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review'. Together they form a unique fingerprint.

Cite this