Minimizing complications in salvage head and neck oncological surgery following radiotherapy and chemo-radiotherapy

Current Opinion in Otolaryngology and Head and Neck Surgery

Volumn 19, Issue 2, 2011, Pages 125-131

  Pang, Leo ^a   Jeannon, Jean Pierre ^a   Simo, Ricard ^a  

^a GUY'S AND ST THOMAS' NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

postoperative complications; recurrent head and neck cancer; salvage head and neck surgery; squamous cell carcinoma

Indexed keywords

ANTIBIOTIC AGENT; LOW MOLECULAR WEIGHT HEPARIN;

ABSCESS; AIR EMBOLISM; AIRWAY OBSTRUCTION; ANTIBIOTIC PROPHYLAXIS; ASPIRATION; CANCER RADIOTHERAPY; CANCER SURGERY; CHEMORADIOTHERAPY; DEEP VEIN THROMBOSIS; DYSPHAGIA; FISTULA; FROZEN SECTION; GRAFT FAILURE; HEAD AND NECK CARCINOMA; HEAD AND NECK SURGERY; HEMATOMA; HUMAN; LARYNGECTOMY; LYMPHEDEMA; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS INFECTION; MUSCLE FLAP; NECK DISSECTION; NERVE INJURY; PATIENT CARE; PECTORALIS MAJOR MUSCLE; PEROPERATIVE COMPLICATION; PNEUMOTHORAX; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; POSTOPERATIVE INFECTION; POSTOPERATIVE PAIN; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; REVIEW; SALVAGE THERAPY; SEROMA; SQUAMOUS CELL CARCINOMA; TREATMENT FAILURE; WOUND CONTRACTION; WOUND DEHISCENCE;

ANTIBIOTIC PROPHYLAXIS; CARCINOMA, SQUAMOUS CELL; COMBINED MODALITY THERAPY; COOPERATIVE BEHAVIOR; HUMANS; INTERDISCIPLINARY COMMUNICATION; LARYNGECTOMY; LYMPHATIC METASTASIS; METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS; NECK DISSECTION; NEOPLASM RECURRENCE, LOCAL; NEOPLASM STAGING; OTORHINOLARYNGOLOGIC NEOPLASMS; PATIENT CARE TEAM; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; REOPERATION; SALVAGE THERAPY; STAPHYLOCOCCAL INFECTIONS; SURGICAL FLAPS; SURGICAL WOUND INFECTION; SURVIVAL RATE;

EID: 79953843902     PISSN: 10689508     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOO.0b013e3283440ee3     Document Type: Review

References (33)

1. Goodwin WJ Jr. Salvage surgery for patients with recurrent squamous cell carcinoma of the upper aerodigestive tract: when do the ends justify the means? Laryngoscope 2000; 110:1-18.
2. Ganly I, Patel S, Matsuo J, et al. Postoperative complications of salvage total laryngectomy. Cancer 2005; 103:2073-2081. (Pubitemid 40605115)
3. Agra IM, Carvalho AL, Pontes E, et al. Postoperative complications after en bloc salvage surgery for head and neck cancer. Arch Otolaryngol Head Neck Surg 2003; 129:1317-1321. (Pubitemid 37523106)
4. Lim JY, Lim YC, Kim SH, et al. Factors predictive of successful outcome following salvage treatment of isolated neck recurrences. Otolaryngol Head Neck Surg 2010; 142:832-837. A large retrospective study on regional recurrence and outcomes. Despite poor results, the emphasis is on early clinical detection.
5. Bohannon IA, Desmond RA, Clemons L, et al. Management of the N0 neck in recurrent laryngeal squamous cell carcinoma. Laryngoscope 2010; 120:58-61. An interesting study which suggests no survival advantage for neck dissections in the N0 neck.
6. Jeannon JP, Orab A, Manganaris A, Simo R. Methicillin resistant Staphylococcus aureus infection as a causative agent of fistula formation following total laryngectomy for advanced head & neck cancer. Head Neck Oncol 2010; 2:14. This article raises the issue and importance of preoperative MRSA screening, and aggressive early antibiotic treatment for any postoperative infections.
7. Singh B, Cordeiro PG, Santamaria E, et al. Factors associated with complications in microvascular reconstruction of head and neck defects. Plast Reconstr Surg 1999; 103:403-411. (Pubitemid 29071552)
8. Roostaeian J, Suh JD, Sercarz JA, et al. Factors affecting cancer recurrence after microvascular flap reconstruction of the head and neck. Laryngoscope 2005; 115:1391-1394. (Pubitemid 41105845)
9. Paydarfar JA, Birkmeyer NJ. Complications in head and neck surgery: a metaanalysis of postlaryngectomy pharyngocutaneous fistula. Arch Otolaryngol Head Neck Surg 2006; 132:67-72. (Pubitemid 43127966)
10. Watson JC, Ridge JA. Surgical management of local and regional recurrent head and neck squamous cell carcinoma. Curr Opin Oncol 1998; 10:207-212. (Pubitemid 28256925)
11. Tønnesen H, Nielsen PR, Lauritzen JB, Møller AM. Smoking and alcohol intervention before surgery: evidence for best practice. Br J Anaesth 2009; 102:297-306.
12. Simo R, French G. The use of prophylactic antibiotics in head and neck oncological surgery. Curr Opin Otolaryngol Head Neck Surg 2006; 14:55-61.
13. Arnold DJ, Goodwin WJ, Weed DT, Civantos FJ. Treatment of recurrent and advanced stage squamous cell carcinoma of the head and neck. Semin Radiat Oncol 2004; 14:190-195. (Pubitemid 38586112)
14. Cooney TR, Poulsen MG. Is routine follow-up useful after combined-modality therapy for advanced head and neck cancer? Arch Otolaryngol Head Neck Surg 1999; 125:379-382.
15. Boysen M, Lovdal O, Tausjo J, Winther F. The value of follow-up in patients treated for squamous cell carcinoma of the head and neck. Eur J Cancer 1992; 28:426-430.
16. Schwartz GJ, Mehta RH, Wenig BL, et al. Salvage treatment for recurrent squamous cell carcinoma of the oral cavity. Head Neck 2000; 22:34-41. (Pubitemid 30030667)
17. Shah JP, Haribhakti V, Loree TR, Sutaria P. Complications of the pectoralis major myocutaneous flap in head and neck reconstruction. Am J Surg 1990; 160:352-355.
18. Piazza C, Peretti G, Cattaneo A, et al. Salvage surgery after radiotherapy for laryngeal cancer - from endoscopic resections to open-neck partial and total laryngectomies. Arch Otolaryngol Head Neck Surg 2007; 133:1037-1043. (Pubitemid 47607588)
19. Pellini R, Pichi B, Ruscito P, et al. Supracricoid partial laryngectomies after radiation failure: a multiinstitutional series. Head Neck 2008; 30:372-379. (Pubitemid 351480754)
20. Temam S, Koka V, Mamelle G, et al. Treatment of the N0 neck during salvage surgery after radiotherapy of head and neck squamous cell carcinoma. Head Neck 2005; 27:653-658. (Pubitemid 41113765)
21. Liauw SL, Amdur RJ, Morris CG, et al. Isolated neck recurrence after definitive radiotherapy for node-positive head and neck cancer: salvage in the dissected or undissected neck. Head Neck 2007; 29:715-719. (Pubitemid 47265526)
22. Jeong WJ, Jung YH, Kwon SK, et al. Role of surgical salvage for regional recurrence in laryngeal cancer. Laryngoscope 2007; 117:74-77. (Pubitemid 46066066)
23. Abdel-Galil K, Milton R, McCaul J. High output chyle leak after neck surgery: the role of video-assisted thoracoscopic surgery. Br J Oral Maxillofac Surg 2009; 47:478-480.
24. Smoke A, Delegge MH. Chyle leaks: consensus on management? Nutr Clin Pract 2008; 23:529-532.
25. Roh JL, Park CI. OK-432 sclerotherapy of cervical chylous lymphocele after neck dissection. Laryngoscope 2008; 118:999-1002. (Pubitemid 351787269)
26. Belloso A, Saravanan K, de Carpentier J. The community management of chylous fistula using a pancreatic lipase inhibitor (orlistat). Laryngoscope 2006; 116:1934-1935. (Pubitemid 44511391)
27. Emerick KS, Tomycz L, Bradford CR, et al. Primary versus secondary tracheoesophageal puncture in salvage total laryngectomy following chemoradiation. Otolaryngol Head Neck Surg 2009; 140:386-390.
28. Furuta Y, Matsumura M, Ohtani F, et al. Prevention of wound complications after salvage total laryngectomy following chemoradiotherapy with a pectoralis major muscle interposition flap. Nippon Jibiinkoka Gakkai Kaiho 2010; 113:9-14.
29. Ethier JL, Trites J, Taylor SM. Pectoralis majormyofascial flap in head and neck reconstruction: indications and outcomes. J Otolaryngol Head Neck Surg 2009; 38:632-641.
30. Gil Z, Gupta A, Kummer B, et al. The role of pectoralis major muscle flap in salvage total laryngectomy. Arch Otolaryngol Head Neck Surg 2009; 135:1019-1023.
31. Kim AJ, Suh JD, Sercarz JA, et al. Salvage surgery with free flap reconstruction: factors affecting outcome after treatment of recurrent head and neck squamous carcinoma. Laryngoscope 2007; 117:1019-1023. (Pubitemid 46869838)
32. Paydar KZ, Hansen SL, Chang DS, et al. Implantable venous Doppler monitoring in head and neck free flap reconstruction increases the salvage rate. Plast Reconstr Surg 2010; 125:1129-1134. A high success rate with use of this new technique to monitor flaps.
33. Kruse AL, Luebbers HT, Grätz KW, Obwegeser JA. Factors influencing survival of free-flap in reconstruction for cancer of the head and neck: a literature review. Microsurgery 2010; 30:242-248. A good review article looking at general management principles in maximizing flap survival.