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

Carlos M Chiesa-Estomba; José A González-García; Eric M Genden; Cesare Piazza; Orlando Guntinas-Lichius; Vincent Vander-Poorten; Luiz P Kowalski; Fernando López; Miquel Quer; Juan P Rodrigo; Álvaro Sanabria; Verónica Fernández-Álvarez; Carlos Suárez; Oded Cohen; Remco de Bree; Ashok R Shaha; Antti A Mäkitie; Alfio Ferlito

doi:10.1007/s00405-022-07577-3

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

Eur Arch Otorhinolaryngol. 2023 Jan;280(1):23-37. doi: 10.1007/s00405-022-07577-3. Epub 2022 Aug 8.

Authors

Carlos M Chiesa-Estomba^{1

2}, José A González-García³, Eric M Genden⁴, Cesare Piazza⁵, Orlando Guntinas-Lichius⁶, Vincent Vander-Poorten^{7

8}, Luiz P Kowalski⁹, Fernando López^{10

11}, Miquel Quer^{12

13}, Juan P Rodrigo^{10

11}, Álvaro Sanabria^{14

15}, Verónica Fernández-Álvarez¹⁶, Carlos Suárez¹⁰, Oded Cohen¹⁷, Remco de Bree¹⁸, Ashok R Shaha¹⁹, Antti A Mäkitie²⁰, Alfio Ferlito²¹

Affiliations

¹ Otorhinolaryngology-Head and Neck Surgery Department, Hospital Universitario Donostia, Calle Doctor Begiristain #1, 20014, Donostia-San Sebastian, Guipuzkoa-Basque Country, Spain. chiesaestomba86@gmail.com.
² Otorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, C/Mas Casanovas, 90, 08041, Barcelona, Spain. chiesaestomba86@gmail.com.
³ Biodonostia Research Institute, San Sebastian, Guipuzkoa-Basque Country, Spain.
⁴ Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
⁵ Department of Otorhinolaryngology-Head and Neck Surgery, University of Brescia, Brescia, Italy.
⁶ HNO-Klinik, Universitätsklinikum Jena, Jena, Germany.
⁷ Department of Oncology, Section Head and Neck Oncology, KU Leuven, Leuven, Belgium.
⁸ Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
⁹ 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.
¹⁰ Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain.
¹¹ Department of Otolaryngology, Hospital Universitario Central de Asturias, Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, CIBERONC, Oviedo, Spain.
¹² Otorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, C/Mas Casanovas, 90, 08041, Barcelona, Spain.
¹³ Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Madrid, Spain.
¹⁴ Department of Surgery, School of Medicine, Universidad de Antioquia/Hospital Universitario San Vicente Fundación, 050010, Medellín, Colombia.
¹⁵ CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello, 050021, Medellín, Colombia.
¹⁶ Department of Vascular Surgery, Hospital Universitario de Cabueñes, Gijón, Spain.
¹⁷ ARM-Center for Otolaryngology-Head and Neck Surgery and Oncology, Assuta Medical Center, Tel Aviv, Affiliated with Ben Gurion University, Beer Sheva, Israel.
¹⁸ Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
¹⁹ Head and Neck Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
²⁰ Department of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
²¹ International Head and Neck Scientific Group, Padua, Italy.

PMID: 35941283
DOI: 10.1007/s00405-022-07577-3

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.

Keywords: Head and neck; Implantable Doppler; Microsurgical; Reconstruction.

Publication types

Systematic Review
Review

MeSH terms

Free Tissue Flaps* / adverse effects
Free Tissue Flaps* / blood supply
Humans
Monitoring, Physiologic
Prospective Studies
Retrospective Studies
Ultrasonography, Doppler / methods