Skip to main content

Preoperative Visit Counseling and Patient Education

  • Chapter
  • First Online:
Complex Head and Neck Microvascular Surgery
  • 184 Accesses

Abstract

The preoperative visit is a vital aspect in the preparation, planning, and ultimately the outcome of major head and neck reconstructive surgery. The preoperative appointment is a time to educate the patient on the intricacies of the perioperative period and specific nuances of the planned surgery and most importantly set appropriate expectations. Patients who have adequate understanding and realistic expectations demonstrate better outcomes overall. Due to the complexity and multidisciplinary involvement of ancillary services in the management of a head and neck patient, this chapter outlines a systematic approach to the preoperative patient discussion. The aim of this chapter is to provide a surgeon with a guide for a comprehensive yet targeted discussion with the patient to facilitate setting appropriate expectations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491–9.

    Article  CAS  PubMed  Google Scholar 

  2. Kain JJ, Johns JD, Alexander D, Carroll WR, Grayson JW, Buczek EJ. Improving head and neck microvascular reconstructive care with a novel perioperative checklist. Laryngoscope. 2021;131(7):E2251–E6.

    Article  PubMed  Google Scholar 

  3. Cartwright LA, Dumenci L, Siminoff LA, Matsuyama RK. Cancer patients' understanding of prognostic information. J Cancer Educ. 2014;29(2):311–7.

    Article  PubMed  PubMed Central  Google Scholar 

  4. van Imhoff LC, Kranenburg GG, Macco S, Nijman NL, van Overbeeke EJ, Wegner I, et al. Prognostic value of continued smoking on survival and recurrence rates in patients with head and neck cancer: a systematic review. Head Neck. 2016;38(Suppl 1):E2214–20.

    PubMed  Google Scholar 

  5. Liu JC, Kaplon A, Blackman E, Miyamoto C, Savior D, Ragin C. The impact of the multidisciplinary tumor board on head and neck cancer outcomes. Laryngoscope. 2020;130(4):946–50.

    Article  PubMed  Google Scholar 

  6. Turkdogan S, Roy CF, Chartier G, Payne R, Mlynarek A, Forest VI, et al. Effect of perioperative patient education via animated videos in patients undergoing head and neck surgery: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg. 2022;148(2):173–9.

    Article  PubMed  Google Scholar 

  7. Chan Y, Irish JC, Wood SJ, Rotstein LE, Brown DH, Gullane PJ, et al. Patient education and informed consent in head and neck surgery. Arch Otolaryngol Head Neck Surg. 2002;128(11):1269–74.

    Article  PubMed  Google Scholar 

  8. Shah P, Thornton I, Turrin D, Hipskind JE. Informed consent. Treasure Island (FL): StatPearls; 2022.

    Google Scholar 

  9. Kwon D, Genden EM, de Bree R, Rodrigo JP, Rinaldo A, Sanabria A, et al. Overcoming wound complications in head and neck salvage surgery. Auris Nasus Larynx. 2018;45(6):1135–42.

    Article  PubMed  Google Scholar 

  10. Paderno A, Piazza C, Bresciani L, Vella R, Nicolai P. Microvascular head and neck reconstruction after (chemo)radiation: facts and prejudices. Curr Opin Otolaryngol Head Neck Surg. 2016;24(2):83–90.

    Article  PubMed  Google Scholar 

  11. Arce K, Bell RB, Potter JK, Buehler MJ, Potter BE, Dierks EJ. Vascularized free tissue transfer for reconstruction of ablative defects in oral and oropharyngeal cancer patients undergoing salvage surgery following concomitant chemoradiation. Int J Oral Maxillofac Surg. 2012;41(6):733–8.

    Article  CAS  PubMed  Google Scholar 

  12. Thankappan K. Microvascular free tissue transfer after prior radiotherapy in head and neck reconstruction - a review. Surg Oncol. 2010;19(4):227–34.

    Article  PubMed  Google Scholar 

  13. Simon C, Bulut C, Federspil PA, Munter MW, Lindel K, Bergmann Z, et al. Assessment of peri- and postoperative complications and Karnofsky-performance status in head and neck cancer patients after radiation or chemoradiation that underwent surgery with regional or free-flap reconstruction for salvage, palliation, or to improve function. Radiat Oncol. 2011;6:109.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Bourget A, Chang JTC, Wu DB, Chang CJ, Wei FC. Free flap reconstruction in the head and neck region following radiotherapy: a cohort study identifying negative outcome predictors. Plast Reconstr Surg. 2011;127(5):1901–8.

    Article  CAS  PubMed  Google Scholar 

  15. Zenga J, Goldsmith T, Bunting G, Deschler DG. State of the art: rehabilitation of speech and swallowing after total laryngectomy. Oral Oncol. 2018;86:38–47.

    Article  PubMed  Google Scholar 

  16. Higashino T, Oshima A, Fukunaga Y, Hayashi R. Surgical outcome of Pharyngocutaneous fistula after total laryngectomy: a retrospective study. Ann Plast Surg. 2021;87(4):431–4.

    Article  CAS  PubMed  Google Scholar 

  17. Scherer LA, Shiver S, Chang M, Meredith JW, Owings JT. The vacuum assisted closure device: a method of securing skin grafts and improving graft survival. Arch Surg. 2002;137(8):930–3; discussion 3–4

    Article  PubMed  Google Scholar 

  18. Niu Z, Chen Y, Li Y, Tao R, Lei Y, Guo L, et al. Comparison of donor site morbidity between anterolateral thigh and radial forearm free flaps for head and neck reconstruction: a systematic review and meta-analysis. J Craniofac Surg. 2021;32(5):1706–11.

    PubMed  Google Scholar 

  19. Liu J, Liu F, Fang Q, Feng J. Long-term donor site morbidity after radial forearm flap elevation for tongue reconstruction: prospective observational study. Head Neck. 2021;43(2):467–72.

    Article  PubMed  Google Scholar 

  20. Deneuve S, Majoufre C, Testelin S, Barry B, Louis MY, Longis J, et al. Donor site sequelae and patient satisfaction after head and neck reconstruction with a radial forearm free flap. Eur Arch Otorhinolaryngol. 2021;278(10):4051–8.

    Article  PubMed  Google Scholar 

  21. Weise H, Naros A, Blumenstock G, Krimmel M, Hoefert S, Kluba S, et al. Donor site morbidity of the anterolateral thigh flap. J Craniomaxillofac Surg. 2017;45(12):2105–8.

    Article  PubMed  Google Scholar 

  22. Agostini T, Lazzeri D, Spinelli G. Anterolateral thigh flap: systematic literature review of specific donor-site complications and their management. J Craniomaxillofac Surg. 2013;41(1):15–21.

    Article  PubMed  Google Scholar 

  23. Ling XF, Peng X. What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery. Plast Reconstr Surg. 2012;129(3):657–74.

    Article  CAS  PubMed  Google Scholar 

  24. Russell J, Pateman K, Batstone M. Donor site morbidity of composite free flaps in head and neck surgery: a systematic review of the prospective literature. Int J Oral Maxillofac Surg. 2021;50(9):1147–55.

    Article  CAS  PubMed  Google Scholar 

  25. Rendenbach C, Goehler F, Hansen L, Kohlmeier C, Amling M, Hanken H, et al. Evaluation of long-term functional donor-site morbidity after deep circumflex iliac crest artery bone flap harvest. Microsurgery. 2019;39(4):304–9.

    Article  PubMed  Google Scholar 

  26. Schardt C, Schmid A, Bodem J, Krisam J, Hoffmann J, Mertens C. Donor site morbidity and quality of life after microvascular head and neck reconstruction with free fibula and deep-circumflex iliac artery flaps. J Craniomaxillofac Surg. 2017;45(2):304–11.

    Article  PubMed  Google Scholar 

  27. Harada H, Shimamoto H, Oikawa Y, Kuroshima T, Tomioka H, Hirai H, et al. Mandibular reconstruction with scapular systems: a single-center case series involving 208 flaps. Plast Reconstr Surg. 2021;148(3):625–34.

    Article  CAS  PubMed  Google Scholar 

  28. Yetzer JG, Pirgousis P, Li Z, Fernandes R. Clinical pathway implementation improves efficiency of Care in a Maxillofacial Head and Neck Surgery Unit. J Oral Maxillofac Surg. 2017;75(1):190–6.

    Article  PubMed  Google Scholar 

  29. Harris JP, Chen MM, Orosco RK, Sirjani D, Divi V, Hara W. Association of Survival with Shorter Time to radiation therapy after surgery for US patients with head and neck cancer. JAMA Otolaryngol Head Neck Surg. 2018;144(4):349–59.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anastasiya Quimby .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Caruso, S.R., Quimby, A. (2023). Preoperative Visit Counseling and Patient Education. In: Quimby, A., Parmar, S., Fernandes, R. (eds) Complex Head and Neck Microvascular Surgery . Springer, Cham. https://doi.org/10.1007/978-3-031-38898-9_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-38898-9_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-38897-2

  • Online ISBN: 978-3-031-38898-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics