Realities and challenges of head and neck free flap reconstruction in sub-Saharan Africa.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-12-01 Epub Date: 2023-09-18 DOI:10.1097/MOO.0000000000000932

Samuel Okerosi, Aslam Nkya, Johan Fagan, Mary Jue Xu

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引用次数: 0

Abstract

Purpose of review: With an increased need to decentralize and train more head and neck ablative and reconstructive surgeons in sub-Saharan Africa, we assess the realities and challenges of free flap reconstruction in sub-Saharan Africa to provide context of its use as a reconstructive option.

Recent findings: Head and neck free flap reconstruction has been performed by local teams as well as visiting teams in Sub Saharan Africa with good results. Free flap success rates are similar to high income regions at 89% vs. 85-100%. However, flap salvage rates are significantly lower (45% compared to 64.1% reported in high income regions). This has been attributed to resource constraints.

Summary: With increasing efforts to increase free flap reconstructive capacity in sub-Saharan Africa, these efforts need to be in the context of available healthcare resources including infrastructure and workforce outside of the surgical team. As training of head and neck ablative and reconstructive surgeons is expanded, reconstructive training needs take the healthcare resource availability into account.

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撒哈拉以南非洲地区头颈部游离皮瓣重建的现实和挑战。

审查目的：随着撒哈拉以南非洲地区越来越需要分散和培训更多的头颈部消融和重建外科医生，我们评估了撒哈拉以南地区游离皮瓣重建的现实和挑战，以提供其作为重建选择的背景。最近的发现：在撒哈拉以南非洲，当地团队和访问团队都进行了头颈部游离皮瓣重建，取得了良好的效果。游离皮瓣的成功率与高收入地区相似，分别为89%和85-100%。然而，皮瓣打捞率明显较低（45%，而高收入地区报告的打捞率为64.1%）。这归因于资源限制。摘要：随着撒哈拉以南非洲地区越来越多地努力提高游离皮瓣重建能力，这些努力需要在现有医疗资源的背景下进行，包括基础设施和手术团队以外的劳动力。随着头颈部消融和重建外科医生培训的扩大，重建培训需要考虑医疗资源的可用性。

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

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.