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Anaesthetic considerations for head and neck cancers in patients undergoing reconstructive free flap surgeries- a review of 55 patients

    Authors

    • Dr Swaraj Jyoti Sonowal 1
    • Dr Anupam , Das 2
    • Dr Sumanjit S Boro 3
    • Dr Tridip Jyoti Borah 1

    1 Assistant Professor, Department of Anaesthesiology, Critical Care & Pain, Dr Bhubaneswar Borooah Cancer Institute, Guwahati, Assam

    2 Associate Professor, Department of Anaesthesiology, Critical Care & Pain, Dr Bhubaneswar Borooah Cancer Institute, Guwahati, Assam

    3 Assistant Professor, Department of Plastic Surgery, Dr Bhubaneswar Borooah Cancer Institute, Guwahati, Assam

,

Document Type : Research Article

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Abstract

A 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.

Keywords

  • retrospective
  • reconstructive surgery
  • Free Flap
  • anaesthesia
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European Journal of Molecular & Clinical Medicine
Volume 7, Issue 2
November 2020
Page 1529-1536
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  • Article View: 347
  • PDF Download: 1,209

APA

Sonowal, D. S. J., Das, D. A. ,., Boro, D. S. S., & Borah, D. T. J. (2020). 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, 7(2), 1529-1536.

MLA

Dr Swaraj Jyoti Sonowal; Dr Anupam , Das; Dr Sumanjit S Boro; Dr Tridip Jyoti Borah. "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, 7, 2, 2020, 1529-1536.

HARVARD

Sonowal, D. S. J., Das, D. A. ,., Boro, D. S. S., Borah, D. T. J. (2020). '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, 7(2), pp. 1529-1536.

VANCOUVER

Sonowal, D. S. J., Das, D. A. ,., Boro, D. S. S., Borah, D. T. J. 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; 7(2): 1529-1536.

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