State-of-the-art management for challenging complications in head and neck surgery

Kiran Ganga , Caitlin McMullen

Plastic and Aesthetic Research ›› 2023, Vol. 10 ›› Issue (1) : 69

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Plastic and Aesthetic Research ›› 2023, Vol. 10 ›› Issue (1) :69 DOI: 10.20517/2347-9264.2023.65
Review

State-of-the-art management for challenging complications in head and neck surgery

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Abstract

Head and neck surgical complications can result in significant morbidity for patients. Innovations over the past few years have shown promise in mitigating these effects. Specifically, new medications, bioactive agents, and bioengineered materials may reduce the resultant morbidity. Certain historic existing medical therapies, such as oxandrolone, tissue plasminogen activator, and royal jelly/honey, have new applications in the management of challenging head and neck surgical complications. This review describes some of the more common and challenging complications in head and neck surgery and modern techniques for management.

Keywords

Chylous fistula / venous thrombosis / nerve injury / microvascular free flap / octreotide / fistula

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Kiran Ganga, Caitlin McMullen. State-of-the-art management for challenging complications in head and neck surgery. Plastic and Aesthetic Research, 2023, 10(1): 69 DOI:10.20517/2347-9264.2023.65

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References

[1]

Delaney SW,Shokrani A.Management of chyle leak after head and neck surgery: review of current treatment strategies.Int J Otolaryngol2017;2017:8362874 PMCID:PMC5288539

[2]

Smith R,Breik O,Parmar S.Nutritional management of chyle leak after head and neck surgery: a systematic review and proposed protocol for management.Oral Maxillofac Surg2023;1-12

[3]

Smoke A.Chyle leaks: consensus on management?.Nutr Clin Pract2008;23:529-32

[4]

Leović D,Gugić Radojković I,Matoc L.Management of chyle leak following head and neck surgery: review of current treatment strategies and algorithmic approach to the treatment.Acta Clin Croat2022;61:88-95 PMCID:PMC10218081

[5]

Baker A,Dooley LM,Zitsch RP 3rd.Postoperative chyle leak rate following neck dissection for squamous cell carcinoma versus papillary thyroid cancer.Laryngoscope2023;133:2959-64

[6]

Swanson MS,Bhandari N,Maceri DR.Use of octreotide for the management of chyle fistula following neck dissection.JAMA Otolaryngol Head Neck Surg2015;141:723-7

[7]

Sharkey AJ.The successful use of octreotide in the treatment of traumatic chylothorax.Tex Heart Inst J2012;39:428-30. PMCID:PMC3368478

[8]

Molena E,Davies-Husband C.Octreotide versus oral dietary modification for the treatment of chylous fistula following neck dissection: a systematic review and meta-analysis.Clin Otolaryngol2021;46:474-84

[9]

Belloso A,de Carpentier J.The community management of chylous fistula using a pancreatic lipase inhibitor (orlistat).Laryngoscope2006;116:1934-5

[10]

Campisi CC,Piazza C.Evolution of chylous fistula management after neck dissection.Curr Opin Otolaryngol Head Neck Surg2013;21:150-6

[11]

Nandy K,Rai S,Puj K.Management of chyle leak after head and neck surgery; our meritorious experience in 52 cases and review of literature.Indian J Otolaryngol Head Neck Surg2022;74:5978-83 PMCID:PMC9895173

[12]

Hashimoto Y,Yui M.OK432 sclerotherapy for refractory chylous leakage after neck dissection.J Surg Case Rep2023;2023:rjad310 PMCID:PMC10271211

[13]

Moussa AM,Gonzalez-Aguirre AJ,Shaha AR.Thoracic duct embolization in post-neck dissection chylous leakage: a case series of six patients and review of the literature.Cardiovasc Intervent Radiol2020;43:931-7 PMCID:PMC8339939

[14]

Chen CY,Shiau EL,Chang HS.Therapeutic role of ultrasound-guided intranodal lymphangiography in refractory cervical chylous leakage after neck dissection: report of a case and review of the literature.Head Neck2016;38:E54-60

[15]

Chen E.Thoracic duct embolization for chylous leaks.Semin Intervent Radiol2011;28:63-74 PMCID:PMC3140251

[16]

Pamarthi V,Schenker MP.Thoracic duct embolization and disruption for treatment of chylous effusions: experience with 105 patients.J Vasc Interv Radiol2014;25:1398-404

[17]

Zou HW,Huang SY,Zhang DS.New method to prevent salivary fistula after parotidectomy.Br J Oral Maxillofac Surg2019;57:801-2

[18]

Ricci E,Dagna F.The use of platelet-rich plasma gel in superficial parotidectomy.Acta Otorhinolaryngol Ital2019;39:363-6 PMCID:PMC6966782

[19]

Lee DJ,Park HJ,Cha W.Intraoperative botulinum toxin injection for superficial partial parotidectomy: a prospective pilot study.Clin Otolaryngol2021;46:998-1004

[20]

Li D,Huang S,Ning C.The harmonic scalpel versus electrocautery for parotidectomy: a meta - analysis.J Craniomaxillofac Surg2019;47:915-21

[21]

Belcastro A,Puscas L.The management of salivary fistulas.Semin Plast Surg2023;37:4-8 PMCID:PMC9911217

[22]

Bhattarai HB,Shah S.A case report on role of hypertonic saline solution in management of parotid fistula.Ann Med Surg2022;80:104208 PMCID:PMC9422196

[23]

Lim YC.Treatment of an acute salivary fistula after parotid surgery: botulinum toxin type A injection as primary treatment.Eur Arch Otorhinolaryngol2008;265:243-5

[24]

Maharaj S,Laher A.Botulinum toxin A is an effective therapeutic tool for the management of parotid sialocele and fistula: a systematic review.Laryngoscope Investig Otolaryngol2020;5:37-45 PMCID:PMC7042652

[25]

Bowers EMR.Management of mucoceles, sialoceles, and ranulas.Otolaryngol Clin North Am2021;54:543-51

[26]

Shimm DS,Tilsner TJ.Low-dose radiation therapy for benign salivary disorders.Am J Clin Oncol1992;15:76-8

[27]

Mandour MA,El-Garem F.Tympanic neurectomy for parotid fistula.Arch Otolaryngol1976;102:327-9

[28]

Raza C,Anjum R.Repair strategies for injured peripheral nerve: review.Life Sci2020;243:117308

[29]

Yi JS,Lee HJ,Yang JH.Rat peripheral nerve regeneration using nerve guidance channel by porcine small intestinal submucosa.J Korean Neurosurg Soc2013;53:65-71 PMCID:PMC3611061

[30]

Safa B.Autograft substitutes: conduits and processed nerve allografts.Hand Clin2016;32:127-40

[31]

Safa B,Desai MJ.Peripheral nerve repair throughout the body with processed nerve allografts: results from a large multicenter study.Microsurgery2020;40:527-37 PMCID:PMC7496926

[32]

Peters BR,Hunter DA.Acellular nerve allografts in major peripheral nerve repairs: an analysis of cases presenting with limited recovery.Hand2023;18:236-43 PMCID:PMC10035101

[33]

Golembiewski J.Antifibrinolytic use in the perioperative setting: aminocaproic acid and tranexamic acid.J Perianesth Nurs2015;30:560-3

[34]

Jamshaid W,Coulson C,Muzaffar J.A systematic review on the efficacy of tranexamic acid in head and neck surgery.Clin Otolaryngol2023;48:527-39

[35]

Chen CC,Wang CP,Lin WD.Prospective, randomized, controlled trial of tranexamic acid in patients who undergo head and neck procedures.Otolaryngol Head Neck Surg2008;138:762-7

[36]

Klifto KM,Sacks JM.Tranexamic acid in microvascular free flap reconstruction.Plast Reconstr Surg2020;146:517e-8e

[37]

Lardi AM,Junge K.The use of tranexamic acid in microsurgery-is it safe?.Gland Surg2018;7:S59-63 PMCID:PMC6107596

[38]

O'Malley QF,Sandler ML,Urken ML.The use of negative pressure wound therapy in the primary setting for high-risk head and neck surgery.Am J Otolaryngol2020;41:102470

[39]

Locatello LG,Maggiore G.Non-surgical strategies for assisting closure of pharyngocutaneous fistula after total laryngectomy: a systematic review of the literature.J Clin Med2021;11:100 PMCID:PMC8745591

[40]

Loaec E,Bonne L.Negative-pressure wound therapy for the treatment of pharyngocutaneous fistula.Eur Ann Otorhinolaryngol Head Neck Dis2014;131:351-5

[41]

Waldie K.Pain associated with negative pressure wound therapy.Br J Nurs2013;22:S15-6-8-21

[42]

Asher SA,Illing EA,Magnuson JS.Intraluminal negative pressure wound therapy for optimizing pharyngeal reconstruction.Jama Otolaryngol2014;140:143-9

[43]

Sittitrai P,Booyaprapa S.Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: a randomized controlled trial.Int J Surg2021;93:106051

[44]

Barajas-Galindo DE,Pintor-de la Maza B.Postoperative enteral immunonutrition in head and neck cancer patients: impact on clinical outcomes.Endocrinol Diabetes Nutr2020;67:13-9

[45]

Mueller SA,Bojaxhiu B.Effect of preoperative immunonutrition on complications after salvage surgery in head and neck cancer.J Otolaryngol Head Neck Surg2019;48:25 PMCID:PMC6544965

[46]

Sanchez A,Inman J,Namin A.Fistula management in head and neck cancer.Semin Plast Surg2020;34:299-304 PMCID:PMC7759424

[47]

Osmolak AM,Price AM,Krempl GA.Does perioperative oxandrolone improve nutritional status in patients with cachexia related to head and neck carcinoma?.Laryngoscope Investig Otolaryngol2019;4:314-8 PMCID:PMC6580053

[48]

Hathorn T,Sharma A,Padhya T.How do i salvage that flap?; an evidence-based primer on salvage techniques for head & neck microvascular free flaps..Oral Oncol2023;136:106246

[49]

Coeugniet E,Lafrance D.Microcirculatory free flap failure with patent anastomosis salvaged by in situ thrombolysis in vulnerable phase burn.J Burn Care Res2019;40:718-22

[50]

Senchenkov A,Tran NV.Management of perioperative microvascular thrombotic complications - the use of multiagent anticoagulation algorithm in 395 consecutive free flaps.J Plast Reconstr Aesthet Surg2015;68:1293-303

[51]

Ihler F,Canis M.Free flap salvage with subcutaneous injection of tissue plasminogen activator in head and neck patients.Microsurgery2013;33:478-81

[52]

DeVito RG.Is nitropaste effective in stressed flaps?.Ann Plast Surg2023;90:S356-8

[53]

Shtraks JP,Nassif PS.Utilization of leech therapy after rhinoplasty.Plast Reconstr Surg2022;149:1090e-5e

[54]

Tashiro K,Arikawa M,Miyamoto S.Free flap salvage after recurrent venous thrombosis by means of large-scale treatment with medical leeches.Plast Reconstr Surg Glob Open2016;4:e1157 PMCID:PMC5222654

[55]

Sig AK,Uskudar Guclu A.Medicinal leech therapy-an overall perspective.Integr Med Res2017;6:337-43 PMCID:PMC5741396

[56]

Kruer RM,Roberti G,McMillian WD.Antimicrobial prophylaxis during Hirudo medicinalis therapy: a multicenter study.J Reconstr Microsurg2015;31:205-9

[57]

Francis A.Hyperbaric oxygen therapy for the compromised graft or flap.Adv Wound Care2017;6:23-32 PMCID:PMC5220535

[58]

Grunzweig KA,Kumar AR.Fibrin tissue sealant and minor skin grafts in burn surgery: a systematic review and meta-analysis.J Plast Reconstr Aesthet Surg2019;72:871-83

[59]

Paw E,Zonta M,Gunnarsson R.Effectiveness of fibrin glue in skin graft survival: a systematic review and meta-analysis.Ann Med Surg2020;56:48-55 PMCID:PMC7305353

[60]

Legemate CM,Gostelie OFE,van Baar ME.Dutch Burn Repository GroupApplication of hydrosurgery for burn wound debridement: an 8-year cohort analysis.Burns2019;45:88-96

[61]

Moya-López J,García-Recio E,De Luna-Bertos E.Advantages of maggot debridement therapy for chronic wounds: a bibliographic review.Adv Skin Wound Care2020;33:515-25

[62]

Solanki AK,Autefage H.Bioactive glasses and electrospun composites that release cobalt to stimulate the HIF pathway for wound healing applications.Biomater Res2021;25:1 PMCID:PMC7811269

[63]

Paladini F.Antimicrobial silver nanoparticles for wound healing application: progress and future trends.Materials2019;12:2540 PMCID:PMC6719912

[64]

Oryan A,Moshiri A.Biological properties and therapeutic activities of honey in wound healing: a narrative review and meta-analysis.J Tissue Viability2016;25:98-118

[65]

Bucekova M,Valachova I.Bee-derived antibacterial peptide, defensin-1, promotes wound re-epithelialisation in vitro and in vivo.Sci Rep2017;7:7340 PMCID:PMC5544694

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