Journal article
Microsurgical reconstruction of the head and neck region: Current concepts of maxillofacial surgery units worldwide.
- Kansy K Department of Cranio- and Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address: katinka.kansy@med.uni-heidelberg.de.
- Mueller AA Department of Oral and Maxillofacial Surgery, Universitätsspital Basel, University of Basel, Basel, Switzerland.
- Mücke T Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, München, Germany.
- Koersgen F Department of Cranio- and Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.
- Wolff KD Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, München, Germany.
- Zeilhofer HF Department of Oral and Maxillofacial Surgery, Universitätsspital Basel, University of Basel, Basel, Switzerland.
- Hölzle F Department of Oral and Maxillofacial Surgery, Aachen University Hospital, Aachen, Germany.
- Pradel W Department of Oral and Maxillofacial Surgery, Dresden University Hospital, Dresden, Germany.
- Schneider M Department of Oral and Maxillofacial Surgery, Dresden-Neustadt Hospital, Dresden, Germany.
- Kolk A Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, München, Germany.
- Smeets R Department of Oral and Maxillofacial Surgery, Hamburg University Hospital, Hamburg-Eppendorf, Germany.
- Acero J Department of Oral and Maxillofacial Surgery, Ramon y Cajal University Hospital, Alcalá University, Madrid, Spain.
- Haers P South Thames Cleft Service, Guy's and St Thomas' NHS Trust, London, UK.
- Ghali GE Department of Oral & Maxillofacial Surgery, Louisiana State University School of Medicine - Shreveport, USA.
- Hoffmann J Department of Cranio- and Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany.
- 2015-07-30
Published in:
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. - 2015
Free tissue flaps
Head and neck oncology
Microsurgery
OSCC
Perioperative management
Questionnaire
Attitude of Health Personnel
Bone Transplantation
Drug Therapy
Europe
Germany
Graft Survival
Head and Neck Neoplasms
Humans
Internet
Intraoperative Care
Microsurgery
Monitoring, Physiologic
Oral and Maxillofacial Surgeons
Orthopedic Fixation Devices
Postoperative Care
Practice Patterns, Physicians'
Preoperative Care
Reconstructive Surgical Procedures
Surgical Flaps
English
INTRODUCTION
Microvascular surgery following tumor resection has become an important field of oral maxillofacial surgery (OMFS). Following the surveys on current reconstructive practice in German-speaking countries and Europe, this paper presents the third phase of the project when the survey was conducted globally.
METHODS
The DOESAK questionnaire has been developed via a multicenter approach with maxillofacial surgeons from 19 different hospitals in Germany, Austria and Switzerland. It was distributed in three different phases to a growing number of maxillofacial units in German-speaking clinics, over Europe and then worldwide.
RESULTS
Thirty-eight units from Germany, Austria and Switzerland, 65 remaining European OMFS-departments and 226 units worldwide responded to the survey. There is wide agreement on the most commonly used flaps, intraoperative rapid sections and a trend towards primary bony reconstruction. No uniform concepts can be identified concerning osteosynthesis of bone transplants, microsurgical techniques, administration of supportive medication and postoperative monitoring protocols. Microsurgical reconstruction is the gold standard for the majority of oncologic cases in Europe, but worldwide, only every second unit has access to this technique.
CONCLUSION
The DOESAK questionnaire has proven to be a valid and well accepted tool for gathering information about current practice in reconstructive OMFS surgery. The questionnaire has been able to demonstrate similarities, differences and global inequalities.
Microvascular surgery following tumor resection has become an important field of oral maxillofacial surgery (OMFS). Following the surveys on current reconstructive practice in German-speaking countries and Europe, this paper presents the third phase of the project when the survey was conducted globally.
METHODS
The DOESAK questionnaire has been developed via a multicenter approach with maxillofacial surgeons from 19 different hospitals in Germany, Austria and Switzerland. It was distributed in three different phases to a growing number of maxillofacial units in German-speaking clinics, over Europe and then worldwide.
RESULTS
Thirty-eight units from Germany, Austria and Switzerland, 65 remaining European OMFS-departments and 226 units worldwide responded to the survey. There is wide agreement on the most commonly used flaps, intraoperative rapid sections and a trend towards primary bony reconstruction. No uniform concepts can be identified concerning osteosynthesis of bone transplants, microsurgical techniques, administration of supportive medication and postoperative monitoring protocols. Microsurgical reconstruction is the gold standard for the majority of oncologic cases in Europe, but worldwide, only every second unit has access to this technique.
CONCLUSION
The DOESAK questionnaire has proven to be a valid and well accepted tool for gathering information about current practice in reconstructive OMFS surgery. The questionnaire has been able to demonstrate similarities, differences and global inequalities.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.jcms.2015.06.034
- PMID 26220884
- Persistent URL
- https://sonar.rero.ch/global/documents/84084
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