Microsurgical reconstruction of the head and neck--current concepts of maxillofacial surgery in Europe

TY - JOUR

T1 - Microsurgical reconstruction of the head and neck--current concepts of maxillofacial surgery in Europe

AU - Kansy, Katinka

AU - Mueller, Andreas Albert

AU - Mücke, Thomas

AU - Kopp, Jean-Baptiste

AU - Koersgen, Friederike

AU - Wolff, Klaus Dietrich

AU - Zeilhofer, Hans-Florian

AU - Hölzle, Frank

AU - Pradel, Winnie

AU - Schneider, Matthias

AU - Kolk, Andreas

AU - Smeets, Ralf

AU - Acero, Julio

AU - Hoffmann, Jürgen

AU - DÖSAK Collaborative Group for Microsurgical Reconstruction

N1 - Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

PY - 2014/12/1

Y1 - 2014/12/1

N2 - INTRODUCTION: Microvascular surgery following tumour resection has become an important field of oral maxillofacial surgery (OMFS). This paper aims to evaluate current microsurgical practice in Europe.METHODS: The questionnaire of the DOESAK collaborative group for Microsurgical Reconstruction was translated into English, transformed into an online based survey and distributed to 200 OMFS units with the aid of the European Association for Cranio-Maxillo-Facial Surgery (EACMFS).RESULTS: 65 complete and 72 incomplete questionnaires were returned. Hospitals from the United Kingdom, France, Italy, the Netherlands, Spain, Belgium, Greece, Slovenia and Lithuania participated. 71% of contributing centres were university hospitals, 87% out of these perform microvascular tumour surgery at least on a two-weekly base. Overall complication rate was at around five percent. Most frequently used transplants were the radial forearm flap and the fibular flap. The perioperative management varied widely. Success factors for flap survival, however, were uniformly rated, with the surgical skill being the most important factor, followed by the quality of postoperative management. Medication seems to play a less important role.CONCLUSION: Within Europe microvascular surgery is a common and safe procedure for maxillofacial reconstructive surgery in the field of OMFS. While there is a major accordance for the surgical procedure itself and the most frequently used flaps, perioperative management shows a wide variety of protocols with low presumed impact on surgical outcome.

AB - INTRODUCTION: Microvascular surgery following tumour resection has become an important field of oral maxillofacial surgery (OMFS). This paper aims to evaluate current microsurgical practice in Europe.METHODS: The questionnaire of the DOESAK collaborative group for Microsurgical Reconstruction was translated into English, transformed into an online based survey and distributed to 200 OMFS units with the aid of the European Association for Cranio-Maxillo-Facial Surgery (EACMFS).RESULTS: 65 complete and 72 incomplete questionnaires were returned. Hospitals from the United Kingdom, France, Italy, the Netherlands, Spain, Belgium, Greece, Slovenia and Lithuania participated. 71% of contributing centres were university hospitals, 87% out of these perform microvascular tumour surgery at least on a two-weekly base. Overall complication rate was at around five percent. Most frequently used transplants were the radial forearm flap and the fibular flap. The perioperative management varied widely. Success factors for flap survival, however, were uniformly rated, with the surgical skill being the most important factor, followed by the quality of postoperative management. Medication seems to play a less important role.CONCLUSION: Within Europe microvascular surgery is a common and safe procedure for maxillofacial reconstructive surgery in the field of OMFS. While there is a major accordance for the surgical procedure itself and the most frequently used flaps, perioperative management shows a wide variety of protocols with low presumed impact on surgical outcome.

U2 - 10.1016/j.jcms.2014.04.030

DO - 10.1016/j.jcms.2014.04.030

M3 - SCORING: Journal article

C2 - 24954764

VL - 42

SP - 1610

EP - 1613

JO - J CRANIO MAXILL SURG

JF - J CRANIO MAXILL SURG

SN - 1010-5182

IS - 8

ER -