New techniques and recommendations in the management of free flap surgery for head and neck defects in cancer patients.

Minerva anestesiologica 2020 Vol.86(8) p. 861-871

Tapia B, Garrido E, Cebrian JL, Castillo JLD, Alsina E, Gilsanz F

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Abstract

Free flap surgery is the gold standard surgical treatment for head and neck defects in cancer patients. Outcomes have improved considerably, probably due to recent advances in surgical techniques. In this article, we review improvements in the parameters traditionally used to optimize hematocrit levels and body temperature and to prevent vasoconstriction, and describe the use of cardiac output-guided fluid management, a technique that has proved useful in other procedures. Finally, we review other parameters used in free flap surgery, such as clotting/platelet management and nutritional optimization.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 free flap 피판재건술 dict 3
해부 flap scispacy 1
해부 hematocrit scispacy 1
해부 cardiac scispacy 1
질환 cancer C0006826
Malignant Neoplasms
scispacy 1
질환 head and neck scispacy 1
질환 cancer patients scispacy 1
질환 head and neck defects scispacy 1

MeSH Terms

Free Tissue Flaps; Head; Head and Neck Neoplasms; Humans; Neck; Plastic Surgery Procedures; Retrospective Studies

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