Factors Associated With Postoperative Delirium in Patients Undergoing Complex Head and Neck Flap Surgery.

Purpose: Postoperative delirium (PD) is a common and severe complication, following extensive surgery and prolonged stays in intensive care units (ICU). The study aimed to estimate the frequency of and identify risk factors for PD in a unified sample of head and neck surgery patients.

Methods: The investigators implemented a retrospective cohort study composing of patients undergoing free flap reconstructive surgery over 1 year.

Periodontal disease-like bone loss after adjuvant radiotherapy in the head and neck region: A case report and review of the literature.

Objective: The purpose of this study was to present a rare case of periodontal disease-like bone loss and possible treatment options. This paper discusses the pros and cons of conservative treatment and radical surgical intervention and summarizes possible complications. It focuses also on the individual situation of the patient and provides a review of literature.

Free flap rescue using an extracorporeal perfusion device.

The warm ischaemia time of microvascular free flaps is limited. Incalculable events, such as lack of adequate recipient vessels or intraoperative medical emergencies, can lead to prolonged ischaemia and potentially to flap loss. In this study, critically perfused ischaemic or congested flaps were temporarily perfused with an extracorporeal perfusion system until anastomosis could be commenced.

Donor site morbidity and flap perfusion of subfascial and suprafascial radial forearm flaps: A randomized prospective clinical comparison trial.

Purpose: The radial forearm flap is still the most commonly used free flap for the reconstruction of intraoral soft tissue defects. Flap raising can be performed in two ways: with or without integrating the fascia antebrachii into the flap.

Materials And Methods: A prospective randomized study was performed, comparing the outcomes of 25 subfascial and 25 suprafascial radial forearm flaps.