Abstract
Postoperative management of complex cervico-facial cancer tumor removal followed by free flap reconstruction is evolving since its early beginning 20 years ago. Flap surveillance is a major goal in this period, however the management of comorbidities to predict a favorable outcome cannot be neglected. Based on our experience in this field and recent literature we updated our postoperative management protocol which focus on management of different comorbidities to maintain favorable outcome for the graft and the patient.
Highlights
Excision of head and neck tumor cancer and reconstructive microvascular surgery of free flap to replace defect or secondary reconstruction after removal of damaged tissues such as osteoradionecrosis are complex challenges in cervicofacial cancer patients
We extended the duration of stay in the Surgical Intensive Care Unit (SICU) from 48h to 72, mainly because these patients needs extensive nursing care in some studies it appears that there is no difference in complication between global SICU care and specialized surgical wards, 72H appears to be an average time for the more complex procedures [7,8,9]
There is no difference between an open and closed ICU care for the outcome of these grafts [10]
Summary
Excision of head and neck tumor cancer and reconstructive microvascular surgery of free flap to replace defect or secondary reconstruction after removal of damaged tissues such as osteoradionecrosis are complex challenges in cervicofacial cancer patients. Postoperative Management of Patients with Cervicofacial Free Flap in Surgical Intensive Care Unit: An Updated Clinical Protocol Postoperative management of complex cervico-facial cancer tumor removal followed by free flap reconstruction is evolving since its early beginning 20 years ago.
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