Summary of evidence for donor and recipient site flap management in head and neck cancer patients undergoing free flap reconstruction
10.3760/cma.j.cn115682-20250320-01382
- VernacularTitle:头颈癌游离皮瓣重建患者供受区皮瓣管理的证据总结
- Author:
Tingting LIU
1
;
Limin PU
;
Miaomiao LIN
;
Danchen WU
;
Mengqin ZHAO
;
Jiaying YAO
;
Aixiang JIN
;
Xiaomin CHEN
Author Information
1. 杭州师范大学护理学院，杭州 311121
- Publication Type:Journal Article
- Keywords:
Head and neck neoplasms;
Free tissue flaps;
Donor site;
Perioperative nursing;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(34):4643-4650
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best available evidence for donor and recipient site flap management in head and neck cancer patients undergoing free flap reconstruction.Method:Following the 6S evidence hierarchy model, a comprehensive search was conducted in databases and websites including UpToDate, BMJ Best Practice, Guidelines International Network, National Institute for Health and Care Excellence, National Comprehensive Cancer Network, Joanna Briggs Institute Evidence-Based Healthcare Database, Cochrane Library, PubMed, Embase, Web of Science, China Biology Medicine disc, China National Knowledge Infrastructure, and Wanfang Data. The search period covered all publications up to May 1, 2024.Results:A total of 14 articles were included, comprising two clinical decisions, two guidelines, two systematic reviews, five expert consensuses, two randomized controlled trials, and one prospective cohort study.A total of 28 pieces of evidence were summarized from six aspects: establishing multidisciplinary collaboration, standardized assessment, prehabilitation training, donor site management strategies, recipient site management strategies, and risk identification and management.Conclusions:This study provides a comprehensive summary of evidence regarding donor and recipient site flap management in patients with head and neck cancer undergoing free flap reconstruction, offering an evidence-based foundation for guiding clinical nursing practice.
