Scott C Fuller1, Paul J Donald. 1. aU.S. Department of Veterans Affairs, Northern California Healthcare System, Division of Otolaryngology, Mather bDepartment of Otolaryngology, Davis Medical Center, University of California, Sacramento, California, USA.
Abstract
PURPOSE OF REVIEW: Complications in head and neck reconstructive surgery can have devastating effects. There is a tremendous body of literature examining risk factors that may predict complications in this patient population, thereby minimizing or avoiding adverse outcomes. RECENT FINDINGS: Rotational thromboelastometry may provide a mechanism to predict coagulopathy in patients undergoing microvascular reconstruction. Surveillance of serum C-reactive protein levels may provide an additional tool for early intervention in wound complications Controversy persists in the literature regarding specific risk factors and associated perioperative complications. SUMMARY: Perioperative medical and surgical complications are commonplace in the management of complex oncologic disease and attendant defect reconstructions. Potential risk factors have been examined exhaustively in the literature without a consensus being established.
PURPOSE OF REVIEW: Complications in head and neck reconstructive surgery can have devastating effects. There is a tremendous body of literature examining risk factors that may predict complications in this patient population, thereby minimizing or avoiding adverse outcomes. RECENT FINDINGS: Rotational thromboelastometry may provide a mechanism to predict coagulopathy in patients undergoing microvascular reconstruction. Surveillance of serum C-reactive protein levels may provide an additional tool for early intervention in wound complications Controversy persists in the literature regarding specific risk factors and associated perioperative complications. SUMMARY: Perioperative medical and surgical complications are commonplace in the management of complex oncologic disease and attendant defect reconstructions. Potential risk factors have been examined exhaustively in the literature without a consensus being established.
Authors: Mathew K Marsee; Faisal S Shariff; Grant Wiarda; Patrick J Watson; Ali H Sualeh; Toby J Brenner; Max L McCoy; Hamid D Al-Fadhl; Alexander J Jones; Patrick K Davis; David Zimmer; Craig Folsom Journal: J Clin Med Date: 2022-02-20 Impact factor: 4.241