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Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review

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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Vascular perfusion research has been dedicated to identify inexpensive, effective, and easy to use methods to assess free flap perfusion for both buried and non-buried flaps.

Methods

Systematic review of complications in patients underwent Head and Neck microsurgical reconstruction and vascular implantable Doppler monitoring.

Results

Sixteen articles were included for qualitative analysis. 2535 (92.2%) patients received IDP monitorization. Venous thrombosis was the most common vascular complication effecting 28 (1.1%). Regarding complications potentially related to the use of the IDP, just one study described the presence of granuloma formation along the suture line in 2 (0.07%) patients.

Conclusions

Our findings indicated that Cook–Swartz IDP will represents a safe and effective device for FF monitoring in HN reconstructive micro-surgery. A detailed prospective registration of the results and complications related to the use of IDP remains mandatory to precisely estimate results, cost, and complications.

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Funding

No funding was used for this research.

Author information

Authors and Affiliations

  1. Otorhinolaryngology-Head and Neck Surgery Department, Hospital Universitario Donostia, Calle Doctor Begiristain #1, 20014, Donostia-San Sebastian, Guipuzkoa-Basque Country, Spain

    Carlos M. Chiesa-Estomba

  2. Biodonostia Research Institute, San Sebastian, Guipuzkoa–Basque Country, Spain

    José A. González-García

  3. Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Eric M. Genden

  4. Department of Otorhinolaryngology-Head and Neck Surgery, University of Brescia, Brescia, Italy

    Cesare Piazza

  5. HNO-Klinik, Universitätsklinikum Jena, Jena, Germany

    Orlando Guntinas-Lichius

  6. Department of Oncology, Section Head and Neck Oncology, KU Leuven, Leuven, Belgium

    Vincent Vander-Poorten

  7. Head and Neck Surgery and Otorhinolarynglology Department, A C Camargo Cancer Center, and Head and Neck Surgery Department, University of São Paulo Medical School, São Paulo, Brazil

    Luiz P. Kowalski

  8. Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain

    Fernando López, Juan P. Rodrigo & Carlos Suárez

  9. Otorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, C/Mas Casanovas, 90, 08041, Barcelona, Spain

    Carlos M. Chiesa-Estomba & Miquel Quer

  10. Department of Surgery, School of Medicine, Universidad de Antioquia/Hospital Universitario San Vicente Fundación, 050010, Medellín, Colombia

    Álvaro Sanabria

  11. Department of Vascular Surgery, Hospital Universitario de Cabueñes, Gijón, Spain

    Verónica Fernández-Álvarez

  12. ARM-Center for Otolaryngology-Head and Neck Surgery and Oncology, Assuta Medical Center, Tel Aviv, Affiliated with Ben Gurion University, Beer Sheva, Israel

    Oded Cohen

  13. Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands

    Remco de Bree

  14. Head and Neck Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Ashok R. Shaha

  15. Department of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

    Antti A. Mäkitie

  16. International Head and Neck Scientific Group, Padua, Italy

    Alfio Ferlito

  17. Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium

    Vincent Vander-Poorten

  18. Department of Otolaryngology, Hospital Universitario Central de Asturias, Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, CIBERONC, Oviedo, Spain

    Fernando López & Juan P. Rodrigo

  19. Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Madrid, Spain

    Miquel Quer

  20. CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello, 050021, Medellín, Colombia

    Álvaro Sanabria

Authors
  1. Carlos M. Chiesa-Estomba
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  2. José A. González-García
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  3. Eric M. Genden
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  4. Cesare Piazza
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  5. Orlando Guntinas-Lichius
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  6. Vincent Vander-Poorten
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  8. Fernando López
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  9. Miquel Quer
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  11. Álvaro Sanabria
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  12. Verónica Fernández-Álvarez
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  13. Carlos Suárez
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  14. Oded Cohen
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  15. Remco de Bree
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  16. Ashok R. Shaha
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  17. Antti A. Mäkitie
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  18. Alfio Ferlito
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Corresponding author

Correspondence to Carlos M. Chiesa-Estomba.

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Chiesa-Estomba, C.M., González-García, J.A., Genden, E.M. et al. Complications related to the Cook–Swartz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review. Eur Arch Otorhinolaryngol 280, 23–37 (2023). https://doi.org/10.1007/s00405-022-07577-3

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  • DOI: https://doi.org/10.1007/s00405-022-07577-3

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