Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (2): 127-137.doi: 10.7518/gjkq.2023040

• Expert Forum •     Next Articles

Complications prevention and treatment after free flap reconstructive surgery for oral and maxillofacial tumor patients

Li Chunjie(),Bi Xiaoqin(),Zhu Guiquan.   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-12-02 Revised:2023-01-19 Online:2023-03-01 Published:2023-03-14
  • Contact: Xiaoqin Bi E-mail:lichunjie@scu.edu.cn;hxbxq@163.com
  • Supported by:
    Department of Science and Technology Application Fundamental Project of Sichuan Pro-vince(2021YJ0129);National Natural Science Foundation of China(U1813213);Sichuan Science and Technology Plan Project(2022JDKP0007)

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Abstract:

Enhanced recovery is important for head and neck tumor patients, especially for those with free flap reconstruction which have numerous complications after surgery. Prevention and treatment of postoperative complications an important part for enhanced recovery after free flap reconstruction of head and neck tumor patients. In this article, we summarized the experiences in some published articles and authors’ clinical practice for the reference of related doctors, including airway management, hemorrhage control, prevention of postoperative infection, prevention of complications related to free flap reconstruction and functional complications prevention in oral and maxillofacial surgery, which could promote the application of enhanced recovery in free flap reconstructive surgery for oral and maxillofacial tumor patients.

Key words: free flap, enhanced recovery after surgery, head and neck neoplasm, reconstructive surgery, oral and maxillofacial defect, complication

CLC Number: 

  • R 622

TrendMD: 

Fig 1

A simple nasopharyngeal airway could be established by retrac-ting the tracheal tube to pharyngeal cavity"

Fig 2

Overhanging the floor of mouth muscles"

Fig 3

Layering of the effusion in the drainage tube"

Fig 4

Placing of the drainage tube under the flap"

Fig 5

Elimination of the dead space"

Fig 6

Close the suture via skin flap transplantation after fibular flap harvesting"

Fig 7

Feeding tube to assist feeding"

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