首页 | 本学科首页   官方微博 | 高级检索  
     


Retrospective evaluation of diagnostic accuracy of free flap monitoring with the Cook-Swartz-Doppler probe in head and neck reconstruction
Affiliation:1. Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Medical Faculty of the University of Freiburg, 79106, Freiburg, Germany;2. Department of Oral and Maxillofacial Surgery, University of Freiburg Medical Centre, 79106, Freiburg, Germany;1. Department of Pediatric Surgery, Dr von Hauner Children''s Hospital, Ludwig-Maximilian''s-University, Munich, Germany;2. Department of Pediatrics, Klinikum Schwabing, Klinikum Rechts der Isar, Technical University of Munich, Germany;3. Department of Pediatric Surgery, Kantonsspital Luzern, Children''s Hospital, Lucerne, Switzerland;1. Department of Ear, Nose, and Throat, Tabriz University of Medical Sciences, Tabriz, Iran;2. Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;1. Division of Maxillofacial Surgery, University Hospital “Maggiore della Carità”, University of Eastern Piedmont, Novara, Italy;2. Department of Oral and Maxillofacial Surgery, Hasanuddin University, Makassar, Indonesia;3. Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, the Netherlands;4. Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Oviedo, Spain;5. Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia;6. Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria;7. Private Practice of Oral Surgery, Plovdiv, Bulgaria;8. Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria;9. Department of Maxillo-facial Surgery, North Estonia Medical Centre Foundation, Tallinn, Estonia;10. Faculty of Medicine, University of Tartu, Tartu, Estonia;11. Bogomolets National Medical University, Stomatological Medical Center, Kyiv, Ukraine;12. Bogomolets National Medical University, Kyiv City Clinical Emergency Hospital, Kyiv, Ukraine;13. Division of Maxillofacial Surgery, Chu de Nantes, Nantes, France;14. Department of Maxillofacial and Oral Surgery of the University Medical Centre, Ljubljana, Slovenia;15. Department of Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia;p. Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark;1. Department of Maxillofacial Surgery of “Kanaker-Zeytun” m/c (Head: Aram Kasyan, MD), 7 Nersisyan Str., Yerevan, 0014, Armenia;2. Department of Maxillofacial Surgery of “Astghik” m/c (Head: prof. Yuri Poghosyan, DSc.), 28a D. Varuzhan Str., Yerevan, 0032, Armenia;1. University Hospital for Oral and Plastic Maxillofacial Surgery, Martin Luther University Halle-Wittenberg, Ernst-Grube Str. 40, 06120, Halle (Saale), Germany;2. University Hospital for Ophthalmology, Martin Luther University Halle-Wittenberg, Ernst-Grube Str. 40, 06120, Halle (Saale), Germany;1. Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Italy;2. Neuroradiology Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Italy
Abstract:The Cook-Swartz-Doppler probe is an easy to handle and reliable tool for free flap monitoring. In the head and neck region different confounders can affect the read out. We therefore analyzed the use of the Doppler probe regarding these potential difficulties and to compare the diagnostic accuracy in arterial or venous monitoring of free flaps in the head and neck region.A retrospective study was performed in which all patients were included who underwent free flap surgery in the head and neck region in the Department of Plastic Surgery and the Department of Maxillofacial Surgery of our institution between 2010 and 2018 and were monitored with an implanted Doppler probe.147 free tissue transfers were included. No significance was found for arterial and venous placement of the Doppler probe for sensitivity (artery 83.3%; vein 84.6%; p = 0.87), specificity (artery 89.2%; vein 96.1%; p = 0.17) and negative predictive value (artery 96.7%; vein 94.2%; p = 0.55). A better positive predictive value for placing the Doppler probe around the artery (82.7%) than the vein (61.1%) was found in our study (p = 0.056).The better positive predictive value in arterial monitoring suggests that this is the more reliable measuring method to assess flap perfusion in the head and neck region.
Keywords:Cook-Swartz-Doppler probe  Head and neck surgery  Head and neck reconstruction  Free flap monitoring  Perfusion control
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号