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Файл:Ординатура / Хирургия / @xirurgi_2025 / @xirurgi_2025 - 562 - файл
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312
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
Index
Patient education, 132
Patient factors, 139
Patient-generated subjective global assessment, 11
Patient guided subjective global assessment (PG-SGA),
scores, 12, 169
Patient health questionnaire (PHQ) 2 question screen, 13
Patient-specic factors, 220
Patient tolerance to compression, 215
Pectoralis myocutaneous ap, 110
Pedicled aps, 78
Pedicled reconstructive options, 30
Pedicle geometry, 100
Pedicle pectoralis major musculocutaneous (PMMC)
ap, 78
Penetration-aspiration scale, 238
Penicillin allergy, 160
Perioperative enteral omeprazole, 160
Perioperative evaluations, 233–234
Perioperative immuno-nutrition in general surgery, 174
Perioperative management, 234
Perioperative peripheral nerve blockade, 190
Peripheral nerve catheter utilization, 190
Peripheral vascular disease, 6
and hematologic disorders, 205
Personalized medicine, 184
Pharmacologic intervention, 154
Pharyngeal/hypopharyngeal defect, 257, 258
Pharyngeal manometry, 243
Pharyngeal plexus innervation and esophageal motility,
160
Pharyngeal procedures, 20
Pharyngeal residue during FEES examination, 239
Pharyngocutaneous stula, 43, 160
formation after laryngectomy, 160
management, 258, 259
Physical therapy (PT), 46, 132, 278, 282, 284
pre-operative examination intake form, 220–225
Physiologic hyperadrenergic manifestations of pain, 186
Pinprick test, 102
Pitting Edema Scale, 211
Pneumatic compression device (PCD), 159, 215
Pneumonia (PNA), 128
Polypharmacy, 151
Post-acute care after surgical discharge, 275
Post-acute care for head and neck cancer patients, 274
Post-anesthesia care unit (PACU), 187
Posterior tibial ap, 207
Post-operative chemoprophylaxis, 159
Post-operative delirium (POD), 157, 161
clinical assessment and diagnosis, 152
clinical presentation of, 149
delirium tremens, 152, 153
incidence of, 150
management, 153–155
risk assessment, 150, 151
Post-operative extubation, 19
Postoperative feeding, 175
Postoperative free aps, 130
Post-operative free tissue transfer
free ap management, 129, 130
ICU level of care, indication of, 128, 129
ICU vs. intermediate care unit/ specialty head and
neck units, 130–132
Post-op functional outcomes for partial and
hemiglossectomy, 234–235
Postoperative hematoma formation, 107
Post-operative inpatient physiotherapy, 201
Post-operative intensive care unit (ICU)
admission, 150
Postoperative monitoring protocols, 144
Postoperative nausea and vomiting (PONV) prophylaxis,
160, 161
Postoperative neck pain, 205
Postoperative oral feeding in HNC patients, 175
and occupation physical therapy, 208, 209
Post-operative physical therapy, 205
Post-operative (chemo)radiation, 202
Post-operative respiratory failure, 64
Postoperative wound care, 281
Postsurgical uid shifts, 129
Prealbumin, 4, 168
Pre-hospital nutritional support, 172, 173
Preoperative checklist, 4
Pre-operative counseling sessions, 233
Preoperative fasting, 174
metabolic stress, 174
surgical scheduling, 174
Preoperative immuno-nutrition, 174
Pre-operative malnutrition, 171
Pre-operative medical optimization, 275
Preoperative patient visit
ablative defects, 40, 41
anterolateral thigh, 44
deep circumex iliac artery free ap, 45
distress and anxiety, 37
bula free ap, 44
ap donor sites, 43, 44
laryngeal defect, 42, 43
management stages, 38–40
oropharyngeal and laryngeal cancer, 41
oropharyngeal defects, 41, 42
patient’s understanding, 37, 38
perioperative checklists, 37
postoperative recovery and rehabilitation, 45, 46
radial forearm free ap, 44
scapula system free ap, 45
Pre-operative planning, 29
Pre-operative swallowing therapy, 239
Pre-operative tracheostomy, 65
Pressure dressings, 117
Presurgical exercise program, 11
Pre-treatment and post-treatment physical therapy
comprehensive evaluation, 213
baseline, 212, 219, 220
Prognostic nutritional index (PNI), 12
Proper tracheostomy home care, 280
Prophylactic antiemetic agents, 161, 162
Prophylactic swallowing therapy, prehabilitation, 239
Prophylaxis
antibiotic, 157
ap thrombosis, 157
nausea and vomiting, 157
Index
313
preoperative, intraoperative, and postoperative
prophylaxis, 157
Protein kinase activation, 98
Prothrombin time (PT), 4
Provisional prosthesis, 296
Provisionalization technique, 299
Psychological interventions, 191
and physiologic stresses, 183
Pterygoid implants, 293, 294
Pterygoid process, 297
and pyramidal process, 293
Pterygomaxillary sutures, 298
Pterygopalatine ganglion block, 190
Pulmonary dysfunction, 7
Pulmonary physical therapy, 209
Q
Quad zygomatic implants with a midline endosseous
dental implant, 296
Quick Inventory of depressive symptoms, 13
R
Radial forearm ap, 265, 266
Radial forearm free ap (RFFF), 25, 30, 44, 70, 121,
122, 206
donor site defect reconstruction, 121, 123, 284
Radiation brosis
healing without achieving functional motion, 217
manual therapy and exercise, 217
pre-operative or early post-treatment evaluation, 217
and soft tissue contracture, 217
Radiation brosis syndrome (RFS), 216
Radiation-induced mucositis of the larynx, 239
Radionucleotide cisternography, 252
Radiotherapy, 22
Randomized controlled trial, 119
Range of motion assessment (ROM), 219
Range of motion exercises, 241
Reactive intervention, or swallowing therapy, 239
Reanastomosis, 100
Recipient vessel selection, 141
Recombinant tissue plasminogen activator (Rt-PA), 104,
144
Reconstructive surgeons, 30
Reconstructive surgery, 9, 127
planning, 38
Rectus abdominis ap, 208
Recurrent laryngeal nerve (RLN) at risk for injury, 205
Recurrent venous congestion, 105
Red cell transfusions, 253
Reux prophylaxis, 160
Regional ap, 96, 108
Rehabilitation, 30
efforts, 235, 236, 282
and physiotherapy after major head and neck surgery
and reconstruction, 201
services, 278
Removable prosthodontics, 291
Renal diseases, 8
Reperfusion injury, 99
Respiratory concerns, 201
Restlessness, 149
Retromolar Trigone (RMT)/ tonsil, 236
Retrospective national database study, 96
Right Maxillary defect for scapula, 88
Risk calculation tools and scales, 4
Rock Tape, 214
S
Salvage procedures, 111
Salvage surgery, 138
group, 61, 62
Sarcopenia, 10, 11
Scapula, 24
free ap, 59, 284
free ap pedicle, 30
tip, 28
Scar management, 217–219
Scoring systems, 19
Secondary lymphedema, 210
Second bula ap, 110
Second free ap, 96
Second free tissue transfer, 108
Self-report method, 13
Sensory decits, 150
Serotonergic neurons, 186
Serum electrolytes, 152
Serum markers, 168
Shaker exercise, 241
Site-specic complications
contrast-enhanced CT for primary diagnostic imaging
of neck-space uid collections, 252
CSF leaks, 254
ap dehiscence or stula formation, 254
uid discharge, 250
general and denitive measures, 252
head and neck wound dehiscence and stula
formation, 253
impaired wound healing, 249
long-term pre-operative corticosteroids, 254
low postoperative haemoglobin levels, 253
medical and surgical interventions, 254
medical optimisation of predisposing risk factors, 250
nasoseptal ap, 255
non-surgical treatment, 256
oral hypoglycaemics and insulin regimes, 253
oroantral stulae, 250
patient compliance and cooperation, 254
pharyngocutaneous stulae, 253
postoperative anaemia, 253
postoperative radiotherapy, 253
prophylactic antibiotics, 255
salvage laryngectomy, 253
surgical repair of a CSF leak, 255
surgical wounds, 250
transected lymphatic ducts, 264
treatment, 255
Skeletal muscle and tendon involvement, 217
Skeletal muscle index (SMI), 11, 139
314
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
Index
Skilled nursing facility [SNF], 274
Skin paddle, 138
Small volume video uoroscopy (VF), 252
Smoking cessation, 38
Social support services, 278–279
Society of Critical Care Medicine (SCCM), 152
Soft tissue, 9, 84
defects, 203
mobilization, 214, 223, 225
reconstruction, 24
Sorbsan®, 118
Speech
and communication, 231
and swallow, 203
Speech generating devices (SGD), 233
Speech language pathology (SLP), 231, 278, 281–283
Speech language therapy, 283
Speech rehabilitation following head and neck
reconstructive surgery, 237
Sphenopalatine ganglion block (SPG), 190
Spinal accessory nerve, 224
dysfunction, 204
Split thickness skin grafts (STSG), 118
appearance, 122
donor site dressing, 119
Stereolithic models, 293
Sternocleidomastoid muscle ap, 263
Stretching exercises, 223, 241
Stroboscopy evaluation rating form (SERF), 232
Subjective Global Assessment, 169
Subscapular artery system, 25, 77
aps, 28
free ap, 58
Substantia gelatinosa, 186
Suicidal ideation, 195
Super supraglottic swallow maneuver, 240
Supercial circumex iliac perforator (SCIP) free ap,
76, 77
Supercial temporalis fascia (STF) free ap, 88
Superior gluteal artery perforator (SGAP) free ap, 78
Supportive care groups, 233
Supraclavicular ap, 78
Supraglottic swallow maneuver, 240
Surface electromyography (sEMG), 242
Surface probes, 137
Surgeon’s expertise, 96, 97
Surgery duration, 150
Surgical assessment
clinical assessment, 20
communications between teams, 20
history, 19
intraoperative considerations, 21
of larynx and hypopharynx, 283
pre-operative imaging, 20
tracheostomy indications, 17–19
vessel depleted neck, 21, 22
Surgical Care Improvement Project (SCIP), 159–160
Surgical closure algorithm, 260
Surgical emergency, 138
Surgical eld of head of head and neck surgery, 220, 221
Surgical optimization
double team approach, 91
hereditary thrombophilia, 65, 66
osteoradionecrotic (ORN) disease, 60
pre-operative planning, free ap design, 66, 68–70,
72, 75, 77, 78, 81–84, 86–88
reconstructive procedure preoperative assessment, 63,
64
salvage surgery group, 61, 62
tracheostomy, 64, 65
vein graft, 66
vessels-depleted neck, 60, 61
Surgical patient morbidity, 37
Surgical site dressing
drain forearm free ap, 122
free ap donor site dressing, 120–122
head and neck (recipient) surgical site, 117
skin graft donor site dressing, 118–120
Surgical site infection (SSI), 159
Surgical technique, 111
Swallowing disorders in head and neck cancers
anticipated neoglottic incompetency, 239
clinical oral examination, 238
instrumental diagnostics, 238
oral diet, 239
postural changes, 240
Swallowing exercises, 241
Symptomatic severe aortic stenosis, 5
Synovis ow coupler, 136
Systemic antithrombotic agents, 104
Systemic antithrombotic therapy, 143
Systemic organ failures, 151
T
Tape measure, 211
Tegaderm™, 118
Telfa™, 120
Temporal artery posterior auricular perforator skin
(TAPAS) free ap, 88
Temporary nasogastric tube, 280
Temporomandibular joint (TMJ), 62
dysfunction, 202
Tensor fascia lata (TFL), 73, 74
TheraBite, 225
jaw motion rehabilitation system, 235
Thigh-based perforator ap, 207
Thin aps elevation, 62
Thoracoacromial artery, 23
Thoracodorsal artery perforator (TDAP), 24
3D computer aided design, 25, 31, 296
Thrombolytic therapy, 105
Thrombolytics, 105
Thrombophilic disorder, 105
Thrombosis, 97, 99
Thyroid stimulating hormone (TSH), 4
Tie-over bolster dressing, 121
Tissue plasminogen activator (tPA), 143
Tissue shrinkage with healing, 258
Tobacco smoking, 254
Index
315
Topical vessel irrigation with heparinized saline, 158
Torso ap, 208
Total glossectomy, 235
Total laryngectomy (TL), 236–237, 258, 283
Total maxillectomy, 290
Total parenteral nutrition (TPN), 263
Tracheoesophageal prosthesis (TEP), 42, 283
Tracheoesophageal speech, 237
Tracheostomies, 19, 64, 65, 150, 244, 280, 281, 283
care, 243, 244, 281
tube strap, 118
TRACHY score, 18, 244
Transabdominal embolisation of thoracic duct, 264
and thoracoscopic ligation of thoracic duct, 264
Transparent lm dressings, 118
Transverse cervical artery (TCA), 22
Transverse cervical system, 23
Trapezius ap, 78
Trismus, 224, 225
True scapular ap, 28
Tumor seeding to the gastrostomy site, 173
U
Ulnar forearm free ap (UFFF), 71
Ultra voice, 237
Unfractionated heparin (UFH), 105
United States Food and Drug Administration, 154
Upper extremity free aps, 205, 206
Upper extremity soft tissue ap, 222
Upper extremity stretching, 224
V
Vacuum-assisted closure (VAC), 120
Valproic acid, 154
Valsalva procedure (in combination with Trendelenberg
positioning), 262
Vascular compression, 117
Vascularized bone support, 84
Vascularized reconstruction, 300
Vascular thrombosis, 99–101, 103–108
Vasopressors, 98, 140
Vein grafts, 23
Velcro shoulder immobilizer, 124
Venothromboembolism (VTE), 6
Venous anastomosis, 105, 143
Venous congested ap, 106
Venous congestion, 102, 103
Venous drainage, 23
Venous failure, 98
Venous foot pump (VFP), 159
Venous obstruction, 137
Venous thromboembolism (VTE), 159
Ventilatory support, 128
Ventral posterior nucleus (VPN), 186
Verapamil, 141
Vessel-depleted neck, 60, 61
Vessel dilation, 98
Vessel spasms, 97
Videouoroscopic swallow study (VFSS), 238
Voice activity and participation prole (VAPP), 232
Voice Handicap Inventory (VHI), 232
Voice performance questionnaire (VPQ), 232
Voice related quality of life questionnaire (VRQOL),
232
Volar slab splint, 122
W
Wedge bony resection, 84
Weight-based heparin nomogram (WBHN), 159
Wound complications in head and neck surgery, 253
Wound dehiscence, 207, 249, 250
Wound dressing, 124
Wound vacuum assisted closure (VAC) therapy, 281
X
Xeroform™, 118, 120
Z
Zygomatic implants, 293–296
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