Postoperative Morbidity Outcomes Associated With Superficial Temporal Versus Cervical Vessels as Recipient Vessels in Head and Neck Reconstruction: A Systematic Review and Meta-Analysis

IF 1.5 3区 医学 Q3 SURGERY Microsurgery Pub Date : 2024-11-01 DOI:10.1002/micr.31255
Woo Shik Jeong, Woonhyeok Jeong
{"title":"Postoperative Morbidity Outcomes Associated With Superficial Temporal Versus Cervical Vessels as Recipient Vessels in Head and Neck Reconstruction: A Systematic Review and Meta-Analysis","authors":"Woo Shik Jeong,&nbsp;Woonhyeok Jeong","doi":"10.1002/micr.31255","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The purpose of this meta-analysis was to compare the surgical outcomes of head and neck reconstruction via free flap surgery, with neck vessels versus superficial temporal vessels as recipient vessels.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The PubMed, Embase, and Scopus databases were systematically searched via the following keywords: (“superficial temporal” OR “temporal”) AND (“free flap” OR “free tissue transfer”) AND (“head and neck” OR “face”). The following data were extracted: first author, publication year, flap type, reconstruction region, concordant vein graft, recipient vessel, and postoperative complications, including thrombosis, partial necrosis, and flap failure. The recipient vessels were divided into two groups: the superficial temporal artery (STA)/V group and the neck group.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Six hundred and thirty-five studies that met the inclusion criteria were included and reviewed systematically for a meta-analysis. Compared with the neck vessel group, the STA/V vessel group had a significantly greater risk of flap failure (odds ratio: 2.18; 95% CI: 1.32–3.60; <i>p</i> = 0.002), with low heterogeneity (<i>p</i> = 0.84; <i>I</i><sup>2</sup> = 0%). However, there were no significant differences in the rates of thrombosis or partial necrosis.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Compared with the use of neck vessels, the use of STA/V vessels as recipient vessels for head and neck reconstruction could increase the risk of total flap necrosis. Considering these findings, surgeons should exercise caution when selecting the STV as the recipient site, and as some authors have suggested, proximal dissection may be necessary during surgery.</p>\n </section>\n </div>","PeriodicalId":18600,"journal":{"name":"Microsurgery","volume":"44 8","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/micr.31255","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Microsurgery","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/micr.31255","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background

The purpose of this meta-analysis was to compare the surgical outcomes of head and neck reconstruction via free flap surgery, with neck vessels versus superficial temporal vessels as recipient vessels.

Methods

The PubMed, Embase, and Scopus databases were systematically searched via the following keywords: (“superficial temporal” OR “temporal”) AND (“free flap” OR “free tissue transfer”) AND (“head and neck” OR “face”). The following data were extracted: first author, publication year, flap type, reconstruction region, concordant vein graft, recipient vessel, and postoperative complications, including thrombosis, partial necrosis, and flap failure. The recipient vessels were divided into two groups: the superficial temporal artery (STA)/V group and the neck group.

Results

Six hundred and thirty-five studies that met the inclusion criteria were included and reviewed systematically for a meta-analysis. Compared with the neck vessel group, the STA/V vessel group had a significantly greater risk of flap failure (odds ratio: 2.18; 95% CI: 1.32–3.60; p = 0.002), with low heterogeneity (p = 0.84; I2 = 0%). However, there were no significant differences in the rates of thrombosis or partial necrosis.

Conclusions

Compared with the use of neck vessels, the use of STA/V vessels as recipient vessels for head and neck reconstruction could increase the risk of total flap necrosis. Considering these findings, surgeons should exercise caution when selecting the STV as the recipient site, and as some authors have suggested, proximal dissection may be necessary during surgery.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
以颞浅静脉和颈静脉作为头颈部重建受体血管的术后发病率结果:系统性回顾与元分析》。
背景:这项荟萃分析的目的是比较以颈部血管和颞浅血管为受体的头颈部游离皮瓣重建手术的效果:这项荟萃分析的目的是比较以颈部血管和颞浅血管作为受体血管,通过游离皮瓣手术重建头颈部的手术效果:通过以下关键词对 PubMed、Embase 和 Scopus 数据库进行系统检索:("颞浅血管 "或 "颞浅血管")和("游离皮瓣 "或 "游离组织转移")和("头颈部 "或 "面部")。提取以下数据:第一作者、发表年份、皮瓣类型、重建区域、吻合静脉移植、受者血管以及术后并发症,包括血栓形成、部分坏死和皮瓣失败。受体血管分为两组:颞浅动脉(STA)/V组和颈部组:结果:符合纳入标准的 635 项研究被纳入并进行了系统性审查和荟萃分析。与颈部血管组相比,STA/V 血管组皮瓣失败的风险明显更高(几率比:2.18;95% CI:1.32-3.60;P = 0.002),异质性较低(P = 0.84;I2 = 0%)。然而,血栓形成或部分坏死的发生率没有明显差异:结论:与使用颈部血管相比,使用STA/V血管作为头颈部重建的受体血管可能会增加皮瓣全坏死的风险。考虑到这些发现,外科医生在选择 STV 作为受体部位时应谨慎,正如一些学者所建议的,手术中可能需要进行近端剥离。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Microsurgery
Microsurgery 医学-外科
CiteScore
3.80
自引率
19.00%
发文量
128
审稿时长
4-8 weeks
期刊介绍: Microsurgery is an international and interdisciplinary publication of original contributions concerning surgery under microscopic magnification. Microsurgery publishes clinical studies, research papers, invited articles, relevant reviews, and other scholarly works from all related fields including orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, urology, and vascular surgery.
期刊最新文献
Issue Information Effects of Preoperative Hemoglobin on Microsurgical Reconstruction and Perioperative Blood Transfusion Requirement: A Meta-Analysis and Systematic Review of the Literature Pain Remission Following Delayed Targeted Muscle Reinnervation in Amputees The Impact of Depression and Anxiety Comorbidities on Acute Postoperative Pain After DIEP Flap Breast Reconstruction Double Medial Circumflex Femoral Artery Perforator Flaps for Unilateral Breast Reconstruction—A Case Report
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1