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Updated: Jan 24, 2026
07:43
Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
8.1K
A Comprehensive Clinical Care Pathway for Microvascular Maxillofacial Reconstructive Surgery
Haider Abo Sharkh1, Sreenath Madathil2, Osama Al-Ghamdi3
1Fellow in Maxillofacial Oncology and Microvascular Reconstruction, Department of Oral and Maxillofacial Surgery, McGill University Health Center, Montreal, Quebec, Canada.
Summary
Developing a clinical care pathway (CCP) for microvascular maxillofacial reconstruction significantly reduced hospital length of stay and operating room readmissions for complex surgical patients.
Area of Science:
- Surgical Oncology
- Oral and Maxillofacial Surgery
- Plastic Surgery
Background:
- Clinical care pathways (CCPs) are underdeveloped for complex surgical procedures.
- Microvascular reconstruction is critical for maxillofacial tumor resection.
Purpose of the Study:
- To develop a comprehensive clinical care pathway (CCP) for microvascular maxillofacial reconstruction.
- To evaluate the impact of this CCP on patient outcomes.
Main Methods:
- A CCP was designed for microvascular free flap reconstruction in tumor patients.
- Bayesian regression analyses compared outcomes (length of stay, operating room readmissions) before and after CCP implementation.
Main Results:
- The average hospital length of stay decreased from 16.9 days (pre-CCP) to 9.8 days (post-CCP).
- Implementation of the CCP reduced intensive care unit and surgical ward length of stay.
- The CCP also reduced the risk of readmission to the operating room.
Conclusions:
- Standardized, evidence-based care through CCPs is crucial for complex patient populations.
- The developed CCP improved efficiency and safety in microvascular maxillofacial reconstruction.
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