Microsurgical reconstruction of the head and neck

• Verfasst von: Mücke, Thomas [VerfasserIn]
• Verfasst von: Müller, Andreas Albert [VerfasserIn]
• Verfasst von: Kansy, Julia Katharina [VerfasserIn]
• Verfasst von: Hallermann, Wock [VerfasserIn]
• Verfasst von: Kerkmann, Heiko [VerfasserIn]
• Verfasst von: Schuck, Nils [VerfasserIn]
• Verfasst von: Zeilhofer, Hans-Florian [VerfasserIn]
• Verfasst von: Hoffmann, Jürgen [VerfasserIn]
• Verfasst von: Hölzle, Frank [VerfasserIn]
• Titel: Microsurgical reconstruction of the head and neck
• Titelzusatz: current practice of maxillofacial units in Germany, Austria, and Switzerland
• Körperschaft: Deutsch-Österreichisch-Schweizerischer Arbeitskreis für Tumoren im Kiefer-Gesichtsbereich [VerfasserIn]
• Verf.angabe: Thomas Mücke, Andreas Albert Müller, Katinka Kansy, Wock Hallermann, Heiko Kerkmann, Nils Schuck, Hans-Florian Zeilhofer, Jürgen Hoffmann, Frank Hölzle, DÖSAK collaborative group for Microsurgical Reconstruction
• Jahr: 2011
• Umfang: 4 S.
• Fussnoten: First published online: 26 November 2010 ; Gesehen am 08.09.2022
• Titel Quelle: Enthalten in: Journal of cranio-maxillofacial surgery
• Ort Quelle: Oxford [u.a.] : Elsevier, 1987
• Jahr Quelle: 2011
• Band/Heft Quelle: 39(2011), 6 vom: Sept., Seite 449-452
• ISSN Quelle: 1878-4119
• DOI: doi:10.1016/j.jcms.2010.10.019
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Austria
• Sach-SW: Drug management
• Sach-SW: Free flap
• Sach-SW: Germany
• Sach-SW: Microsurgery
• Sach-SW: Operative management
• Sach-SW: Switzerland
• K10plus-PPN: 1816302821

Abstract

Refinement in microvascular reconstructive techniques over the last 30 years has enabled an increasing number of patients to be rehabilitated for both functional and aesthetic reasons. The purpose of this study was to evaluate different microsurgical practice, including perioperative management, in Germany, Austria, and Switzerland. The DÖSAK collaborative group for Microsurgical Reconstruction developed a detailed questionnaire which was circulated to units in the three countries. The current practice of the departments was evaluated. Thirty-eight questionnaires were completed resulting in a 47.5% response rate. A considerable variation in the number of microsurgical reconstructions per year was noted. In relation to the timing of bony reconstruction, 10 hospitals did reconstructions primarily (26.3%), 19 secondarily (50%) and 9 (23.7%) hospitals used both concepts. In the postoperative course, 15.8% of hospitals use inhibitors of platelet aggregation, most hospitals use low molecular heparin (52.6%) or other heparin products (44.7%). This survey shows variation in the performance, management, and care of microsurgical reconstructions of patients. This is due in part to the microvascular surgeons available in the unit but it is also due to different types of hospitals where various types of care can be performed in these patients needing special perioperative care.