Designing an evidence-based free-flap pathway in head and neck reconstruction.

Q2 Medicine World Journal of OtorhinolaryngologyHead and Neck Surgery Pub Date : 2022-04-27 eCollection Date: 2022-06-01 DOI:10.1002/wjo2.22

Michelle Mark, Michael Eggerstedt, Matthew J Urban, Samer Al-Khudari, Ryan Smith, Peter Revenaugh

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Abstract

Background: The use of autologous free-tissue transfer is an increasingly utilized tool in the ladder of reconstructive options to preserve and restore function in patients with head and neck cancer. This article focuses on the evidence surrounding perioperative care that optimizes surgical outcomes and describes one tertiary center's approach to standardized free-flap care.

Data sources: This article examines English literature from PubMed and offers expert opinion on perioperative free-flap care for head and neck oncology.

Conclusion: Free-flap reconstruction for head and neck cancer is a process that, while individualized for each patient, is best supported by a comprehensive and standardized care pathway. Surgical optimization begins in the preoperative phase and a thoughtful approach to intraprofessional communication and evidence-based practice is rewarded with improved outcomes.

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在头颈部重建中设计以证据为基础的游离瓣路径。

背景：使用自体游离组织转移是头颈部癌症患者保留和恢复功能的阶梯重建方案中越来越常用的一种工具。本文重点关注围手术期护理可优化手术效果的相关证据，并介绍了一家三级中心的标准化游离皮瓣护理方法：本文研究了PubMed上的英文文献，并提供了头颈部肿瘤围手术期游离皮瓣护理的专家意见：头颈部肿瘤的游离皮瓣重建是一个过程，虽然每个患者的情况都不尽相同，但全面、标准化的护理路径能为患者提供最佳支持。手术优化始于术前阶段，术中沟通和循证实践的周到方法可改善手术效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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