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31.05.2024 | Brief Communication

A Safe Methodology for Suction Drain Placement in in Head & Neck Reconstruction after Free Tissue Transfer

verfasst von: Dr Anupam Golash, Dr Tamasuk Das, Dr Abhijit Golash

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 5/2024

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Abstract

Introduction

Free tissue transfer is now done routinely for Head & neck reconstruction. A suction drain is needed for efficient drainage of the neck post-dissection & with it arises a new dilemma, challenge or obsession amidst the practicing surgeons about the safe and efficient placement of suction drain in an anatomical location so that it does not injure or impair the anastomosis but will still be able to carry out its role efficiently. No prior studies are available regarding the safe practice. Hence the aim of our study was to explore & establish a reliable manoeuvre where the drain could be introduced in a safe and efficient way. From April of 2017-February of 2024 a prospective study was carried out in which cases of 517 patients were taken into account who underwent head and neck reconstruction using a free tissue transfer procedure where the suction drain tube was placed in the dependent part of the neck (i.e. the posterior triangle region) & the margin of sternocleidomastoid muscle was fixed with the pre-vertebral layer of the cervical fascia. The drain was secured externally with a percutaneous non- absorbable suture.

Study Design

A prospective Study.

Study Period

April 2017- February 2024.

Observation

A thorough observation was carried out & no evidence of drain induced anastomotic complications were reported.

Conclusion

Hence it can be assumed that this particular method of drain placement is both safe & efficient and it can act as a beacon among the surgeons who suffer a from a dilemma & challenge about where to place the drain safely & efficiently.
Literatur
1.
Zurück zum Zitat Closed–suction compared with Penrose drainage after free flap reconstruction in the head and neck O. Madgara,∗, O. Segalb, J. Mansoura, D. Sagiva,b, A. Dubriyanc, L. Bedrina, Y.P. Talmia,b,M. Wolfa,b, E.E. Alona,baDepartment of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, IsraelbSackler Faculty of Medicine, Tel Aviv University, IsraelcDepartment of Oral and Maxillofacial Surgery, Sheba Medical Center, Tel Hashomer, Israel Closed–suction compared with Penrose drainage after free flap reconstruction in the head and neck O. Madgara,∗, O. Segalb, J. Mansoura, D. Sagiva,b, A. Dubriyanc, L. Bedrina, Y.P. Talmia,b,M. Wolfa,b, E.E. Alona,baDepartment of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, IsraelbSackler Faculty of Medicine, Tel Aviv University, IsraelcDepartment of Oral and Maxillofacial Surgery, Sheba Medical Center, Tel Hashomer, Israel
Metadaten
Titel
A Safe Methodology for Suction Drain Placement in in Head & Neck Reconstruction after Free Tissue Transfer
verfasst von
Dr Anupam Golash
Dr Tamasuk Das
Dr Abhijit Golash
Publikationsdatum
31.05.2024
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 5/2024
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-024-04764-y

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