Continental Preferences in Reconstruction of Pharyngolaryngectomy Defects: A Multi-National Survey.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-23 DOI:10.1002/hed.28078

William Karantanis, Andrew R Larson, Ravjit Singh, Daniel G Deschler, Prathamesh S Pai, Thomas E Havas

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引用次数: 0

Abstract

Objectives: Reconstruction of total pharyngolaryngectomy defects may restore pharyngeal function and enable tracheoesophageal speech after resection of locoregionally advanced malignancy. Little remains known about variations in the practices and preferences of surgeons across differing global regions.

Methods: A survey was sent to reconstructive head and neck surgeons across three continents with responses analyzed to evaluate trends.

Results: Of 155 respondents, 79.4% (n = 123) completed the survey including surgeons from North America (USA/Canada), the Indian Subcontinent (India/Bangladesh) and Australia/New Zealand. Among surgeons trained in pedicle flap reconstruction, only 47.5% performed these procedures after completion of training. Pedicle flaps were performed most frequently by surgeons from the Indian subcontinent. The anterolateral thigh flap was most popular among surgeons for free flap reconstruction, 58.5% (n = 72).

Conclusion: This study demonstrates significant region-based variation in preferred reconstructive modality, suggesting location of practice and institutional experience influence the reconstructive algorithms of head and neck surgeons.

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一项多国调查显示：大陆偏好在咽喉切除缺损重建中的作用。

目的：局部晚期恶性肿瘤切除后，全咽缺损重建可使咽功能恢复，气管食管言语功能恢复。关于全球不同地区外科医生的实践和偏好的差异，我们所知甚少。方法：对三大洲的头颈部整形外科医生进行调查，并对调查结果进行分析以评估趋势。结果：155名受访者中，79.4% （n = 123）完成了调查，包括来自北美（美国/加拿大）、印度次大陆（印度/孟加拉国）和澳大利亚/新西兰的外科医生。在接受过蒂瓣重建培训的外科医生中，只有47.5%的人在完成培训后进行了这些手术。蒂皮瓣最常由印度次大陆的外科医生进行。股骨前外侧皮瓣在游离皮瓣重建中最受欢迎，占58.5% （n = 72）。结论：本研究显示了首选重建方式的显著区域差异，表明实践地点和机构经验影响头颈部外科医生的重建算法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.