Advertisement
Short communication| Volume 58, ISSUE 4, P481-483, May 2020

Download started.

Ok

Head and neck ablative and microvascular reconstructive surgery in the UK: current operating team composition

      Abstract

      We sought to explore the current landscape of team composition in the provision of major head and neck ablative and reconstructive surgery in the UK. We conducted a survey of maxillofacial surgery units and compiled data on the operating model adopted at each institution. Our survey confirmed 54 active maxillofacial units undertaking microvascular free flap reconstructive surgery, with 44 (82%) hospitals adopting a two-team operative approach. We found no significant association between hospital type and volume of free flaps undertaken and prevailing operating team model. Our study provides an interesting snapshot of the current head and neck microvascular reconstructive practice in the UK.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Islam S.
        • Wates E.
        • Hayter J.P.
        Head and neck cancer surgery provision in England: a current analysis of contributing specialties caseloads.
        Br J Oral Maxillofac Surg. 2017; 55: 189-191
        • Islam S.
        Should we consider devolution of “head and neck” surgery from the specialties of oral and maxillofacial surgery; ear, nose, and throat surgery; and plastic surgery?.
        Br J Oral Maxillofac Surg. 2016; 54: 976-979
        • Freiberg A.
        • Bartlett G.S.
        Two-team approach to surgery for head and neck cancer.
        Can J Surg. 1980; 23: 35-38
        • Contag S.P.
        • Golub J.S.
        • Teknos T.N.
        • et al.
        Professional burnout among microvascular and reconstructive free-flap head and neck surgeons in the United States.
        Arch Otolaryngol Head Neck Surg. 2010; 136: 950-956
        • Offodile 2nd, A.C.
        • Aherrera A.
        • Wenger J.
        • et al.
        Impact of increasing operative time on the incidence of early failure and complications following free tissue transfer? A risk factor analysis of 2,008 patients from the ACS-NSQIP database.
        Microsurgery. 2017; 37: 12-20