Vessel selection and free flap monitoring in head and neck microvascular reconstruction
Vessel selection and free flap monitoring in head and neck microvascular reconstruction作者机构：Department of Otorhinolaryngology-Head and Neck SurgeryRush University Medical CenterChicagoIL 60612United States
出 版 物：《World Journal of Otorhinolaryngology》 (世界耳鼻咽喉科杂志)
年 卷 期：2015年第5卷第1期
页 面：5-13页
学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学]
主 题：Neck dissection Free flap Microvascular anastomosis Mandibulectomy Head and neck cancer
摘 要：Microvascular free flap surgery has become a successful and reliable method of reconstruction following head and neck cancer resection. The effectiveness of free flap reconstruction has increased with improved surgical technique as well as technological refinement in vessel selection and flap monitoring. Few papers have studied the factors that influence success or failure rates of free flap reconstructions, particularly with an eye towards the technologic advancements that have refined the procedure in the last several decades. Here we present a comprehensive review of perioperative and intraoperative considerations that influence free flap outcomes as well methods of vessel selection and flap monitoring important during microvascular reconstruction of the head and neck.
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