Design and Impact of Intraoperative Pathways for Head and Neck Resection and Reconstruction
Authors:
- Ara A. ChalianACAra A. Chalian
- Sarah H. KaganSKSarah H. Kagan
- Andrew N. GoldbergAGAndrew N. Goldberg
- Allan GottschalkAGAllan Gottschalk
- Ann DakunchakADAnn Dakunchak
- Gregory S. WeinsteinGWGregory S. Weinstein
- Randal S. WeberRWRandal S. Weber
Open Access
- 1 August 2002
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery
- Vol. 128 (8) , 892-896
Abstract
WE DESCRIBE the design and clinical impact of 3 intraoperative pathways: transcervical (TC) resection of oral cavity neoplasia, transmandibular (TM) resection of oral or oropharyngeal neoplasia, and laryngopharyngectomy (LP), all with radial forearm free-flap (RFFF) reconstruction. This article details the design of each pathway that projects intraoperative flow and teamwork. The impact of the pathways is analyzed through descriptive statistics for procedure and case lengths in each pathway, against target pathway times, and in inferential comparison with grouped prepathway times. Summary conclusions include time and action efficiencies, projections for further analysis, and directions for research and practice.Keywords
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