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Microsurgical reconstruction of the head and neck--current practice of maxillofacial units in Germany, Austria, and Switzerland

Mücke, Thomas and Müller, Andreas Albert and Kansy, Katinka and Hallermann, Wock and Kerkmann, Heiko and Schuck, Nils and Zeilhofer, Hans-Florian and Hoffmann, Jürgen and Hölzle, Frank and DÖSAK collaborative group for Microsurgical Reconstruction, . (2011) Microsurgical reconstruction of the head and neck--current practice of maxillofacial units in Germany, Austria, and Switzerland. Journal of cranio-maxillofacial surgery, Vol. 39, H. 6. pp. 449-452.

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Official URL: http://edoc.unibas.ch/dok/A6004802

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Abstract

Refinement in microvascular reconstructive techniques over the last 30 years has enabled an increasing number of patients to be rehabilitated for both functional and aesthetic reasons. The purpose of this study was to evaluate different microsurgical practice, including perioperative management, in Germany, Austria, and Switzerland. The DÖSAK collaborative group for Microsurgical Reconstruction developed a detailed questionnaire which was circulated to units in the three countries. The current practice of the departments was evaluated. Thirty-eight questionnaires were completed resulting in a 47.5% response rate. A considerable variation in the number of microsurgical reconstructions per year was noted. In relation to the timing of bony reconstruction, 10 hospitals did reconstructions primarily (26.3%), 19 secondarily (50%) and 9 (23.7%) hospitals used both concepts. In the postoperative course, 15.8% of hospitals use inhibitors of platelet aggregation, most hospitals use low molecular heparin (52.6%) or other heparin products (44.7%). This survey shows variation in the performance, management, and care of microsurgical reconstructions of patients. This is due in part to the microvascular surgeons available in the unit but it is also due to different types of hospitals where various types of care can be performed in these patients needing special perioperative care.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Kopfbereich > Kiefer- und Gesichtschirurgie (Zeilhofer)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Kopfbereich > Kiefer- und Gesichtschirurgie (Zeilhofer)
UniBasel Contributors:Zeilhofer, Hans-Florian
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Churchill Livingstone
ISSN:0301-0503
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:27 Mar 2014 13:13
Deposited On:27 Mar 2014 13:13

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