Journal Reviews

Delirium post-op

1 October 2018 | | ENTA-Head & Neck | delirium, free flap reconstruction, oral cancer, risk factors

This is a retrospective study from Japan analysing 102 patients who underwent oral cancer resection and free flap reconstruction. Postoperative delirium occurred in a third of these patients. An increased risk was identified in those with high preoperative albumin, postoperative...

Risk factors in free flap failure

1 January 2018 | | free flap failure, head and neck, risk factors

This is a retrospective analysis from China of 881 free flaps over nearly four years, 49 of which were ‘taken back’, 26 of which were lost, giving a 97% success rate. The commonest cause of flap failure was venous thrombosis....

Bad splits

1 November 2016 | | age, bad split, bilateral sagittal split osteotomy, intraoperative complications, mandibular fracture, orthognathic surgery, risk factors, sagittal ramus osteotomy, surgical technique, third molar

This is a meta-analysis of reported risk factors of a ‘bad split’ in a sagittal split mandibular osteotomy. They identified 30 observational articles and therefore acknowledged it is based on low quality studies. It is compounded by the definition of...

What’s the risk of regrowth with partial (intracapsular) tonsillectomy

1 January 2015 | | ENTA-ENT | OSAHS, Partial tonsillectomy, Potential risk factors, Tonsillar regrowth

Partial (intracapsular) tonsillectomy is enjoying somewhat of a revival offering the potential for less postoperative pain and bleeding whilst relieving the obstructive element. The authors look at 303 patients, 82 of whom had partial tonsillectomy using coblation. They measured pre...