Parotidectomy is the mainstay treatment for tumors of the parotid gland.In an effort to improve clinical outcomes,several modern surgical techniques and perioperative interventions have been evaluated and refined.This...Parotidectomy is the mainstay treatment for tumors of the parotid gland.In an effort to improve clinical outcomes,several modern surgical techniques and perioperative interventions have been evaluated and refined.This review discusses current and actively debated perioperative interventions aimed at improving patient safety and the quality of parotidectomy.Relevant high-impact literature pertaining to preoperative diagnostic modalities,intraoperative surgical techniques,and postoperative care will be described.展开更多
Background:The use of autologous free-tissue transfer is an increasingly utilized tool in the ladder of reconstructive options to preserve and restore function in patients with head and neck cancer.This article focuse...Background:The use of autologous free-tissue transfer is an increasingly utilized tool in the ladder of reconstructive options to preserve and restore function in patients with head and neck cancer.This article focuses on the evidence surrounding perioperative care that optimizes surgical outcomes and describes one tertiary center's approach to standardized free-flap care.Data Sources:This article examines English literature from PubMed and offers expert opinion on perioperative free-flap care for head and neck oncology.Conclusion:Free-flap reconstruction for head and neck cancer is a process that,while individualized for each patient,is best supported by a comprehensive and standardized care pathway.Surgical optimization begins in the preoperative phase and a thoughtful approach to intraprofessional communication and evidence-based practice is rewarded with improved outcomes.展开更多
文摘Parotidectomy is the mainstay treatment for tumors of the parotid gland.In an effort to improve clinical outcomes,several modern surgical techniques and perioperative interventions have been evaluated and refined.This review discusses current and actively debated perioperative interventions aimed at improving patient safety and the quality of parotidectomy.Relevant high-impact literature pertaining to preoperative diagnostic modalities,intraoperative surgical techniques,and postoperative care will be described.
文摘Background:The use of autologous free-tissue transfer is an increasingly utilized tool in the ladder of reconstructive options to preserve and restore function in patients with head and neck cancer.This article focuses on the evidence surrounding perioperative care that optimizes surgical outcomes and describes one tertiary center's approach to standardized free-flap care.Data Sources:This article examines English literature from PubMed and offers expert opinion on perioperative free-flap care for head and neck oncology.Conclusion:Free-flap reconstruction for head and neck cancer is a process that,while individualized for each patient,is best supported by a comprehensive and standardized care pathway.Surgical optimization begins in the preoperative phase and a thoughtful approach to intraprofessional communication and evidence-based practice is rewarded with improved outcomes.
