Anaesthetic considerations for head and neck cancers in patients undergoing reconstructive free flap surgeries- a review of 55 patients
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 2, Pages 1529-1536
AbstractA retrospective study was conducted at Dr Bhubaneswar Borooah Cancer Institute, Guwahati Assam in
55 patients who had undergone free flap reconstructive surgery following resection of head and neck
cancers over a period of 2 years from 2018 to 2020. General anaesthesia with either endotracheal
intubation or cuffed tracheostomy tube was used. Anterolateral thigh, radial forearm and free fibular flaps
were used for reconstruction. The mean anaesthesia time was 29.8 hours which included the time from
induction to extubation. Out of which the surgery mean time was 10.6 hours. Of the 55 free flap surgeries,
there were 4 failures, two of which were intraoperative leading to the surgeon abandoning the procedure.
Optimal utilization of advanced anaesthesia techniques as well as improvement in surgical expertise can
further increase the use as well as reduce the complications associated with free flap surgeries.
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