Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck

Steven B. Cannady; Kyle Hatten; Mark K. Wax

doi:10.1016/j.fsc.2016.03.007

Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck

Steven B. Cannady, Kyle Hatten, Mark K. Wax

Research output: Contribution to journal › Review article › peer-review

20 Scopus citations

Abstract

Free tissue transfer is the gold standard for reconstructing head and neck defects. Free flap success approaches 95% in centers with experience, affording unparalleled ability to restore form and function in cancer, trauma, or other major composite tissue loss. It is critical to manage the perioperative variables that predict success; several areas of controversy have not yet reached consensus. This review focuses on postoperative anticoagulation, fluid management, and flap monitoring methods. These areas of controversy potentially influence flap survival. We review published practices considered within the standard of care, why controversy remains, and future directions to reach standardization.

Original language	English (US)
Pages (from-to)	309-314
Number of pages	6
Journal	Facial plastic surgery clinics of North America
Volume	24
Issue number	3
DOIs	https://doi.org/10.1016/j.fsc.2016.03.007
State	Published - Aug 1 2016

Keywords

Anticoagulation
Flap monitoring
Fluid management
Free flap
Head and neck defect

ASJC Scopus subject areas

Surgery

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10.1016/j.fsc.2016.03.007

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title = "Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck",

abstract = "Free tissue transfer is the gold standard for reconstructing head and neck defects. Free flap success approaches 95% in centers with experience, affording unparalleled ability to restore form and function in cancer, trauma, or other major composite tissue loss. It is critical to manage the perioperative variables that predict success; several areas of controversy have not yet reached consensus. This review focuses on postoperative anticoagulation, fluid management, and flap monitoring methods. These areas of controversy potentially influence flap survival. We review published practices considered within the standard of care, why controversy remains, and future directions to reach standardization.",

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AU - Hatten, Kyle

AU - Wax, Mark K.

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N2 - Free tissue transfer is the gold standard for reconstructing head and neck defects. Free flap success approaches 95% in centers with experience, affording unparalleled ability to restore form and function in cancer, trauma, or other major composite tissue loss. It is critical to manage the perioperative variables that predict success; several areas of controversy have not yet reached consensus. This review focuses on postoperative anticoagulation, fluid management, and flap monitoring methods. These areas of controversy potentially influence flap survival. We review published practices considered within the standard of care, why controversy remains, and future directions to reach standardization.

AB - Free tissue transfer is the gold standard for reconstructing head and neck defects. Free flap success approaches 95% in centers with experience, affording unparalleled ability to restore form and function in cancer, trauma, or other major composite tissue loss. It is critical to manage the perioperative variables that predict success; several areas of controversy have not yet reached consensus. This review focuses on postoperative anticoagulation, fluid management, and flap monitoring methods. These areas of controversy potentially influence flap survival. We review published practices considered within the standard of care, why controversy remains, and future directions to reach standardization.

KW - Anticoagulation

KW - Flap monitoring

KW - Fluid management

KW - Free flap

KW - Head and neck defect

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Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck

Abstract

Keywords

ASJC Scopus subject areas

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