Consensus of free flap complications: Using a nomenclature paradigm in microvascular head and neck reconstruction.
Research article published in Head & neck (2021)
Abstract
BACKGROUND: We aim to define a set of terms for common free flap complications with evidence-based descriptions. METHODS: Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons (N = 11). A content validity index for relevancy and clarity for each item was computed and adjusted for chance agreement (modified kappa, K). Items with K < 0.74 for relevancy (i.e., ratings of "good" or "fair") were eliminated. RESULTS: Five out of nineteen terms scored K < 0.74. Eliminated terms included "vascular compromise"; "cellulitis"; "surgical site abscess"; "malocclusion"; and "non- or mal-union." Terms that achieved consensus were "total/partial free flap failure"; "free flap takeback"; "arterial thrombosis"; "venous thrombosis"; "revision of microvascular anastomosis"; "fistula"; "wound dehiscence"; "hematoma"; "seroma"; "partial skin graft failure"; "total skin graft failure"; "exposed hardware or bone"; and "hardware failure." CONCLUSION: Standardized reporting would encourage multi-institutional research collaboration, larger scale quality improvement initiatives, the ability to set risk-adjusted benchmarks, and enhance education and communication.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
We aim to define a set of terms for common free flap complications with evidence-based descriptions. Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons (N = 11).
Por qué esto importa para la hirudoterapia
Esta declaración de consenso utilizó encuestas de consenso clínico entre 11 cirujanos de cabeza y cuello/reconstructivos para definir una nomenclatura estandarizada para las complicaciones de colgajos libres, logrando consenso en términos que incluyen 'trombosis venosa', 'trombosis arterial' y 'hematoma', mientras que se eliminaron cinco términos que carecían de un acuerdo interevaluador adecuado. El resumen no menciona sanguijuelas, hirudoterapia o compuestos derivados de sanguijuelas. El estudio se enfoca completamente en establecer terminología estandarizada para el reporte de complicaciones quirúrgicas y no aborda ninguna modalidad terapéutica. Ningún contenido en el resumen respalda alguna relevancia para la hirudoterapia o el secretoma de la sanguijuela.
Citación
Consensus of free flap complications: Using a nomenclature paradigm in microvascular head and neck reconstruction.
Mady et al. · Head & neck, 2021
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 28, 2026 · Última actualización del sitio: 18 de junio de 2026