Comparison of Different Visualization Systems & Armamentariums for Micro vascular Cases in Craniofacial Surgery- An Original Research

Abstract

Introduction: Microvascular surgery has become an important method of reconstruction in craniofacial surgeries. Hence in the present study we aim to analyze the loupes and the microscope for magnification for free tissue transfers in head and neck reconstruction. Material and method: We conducted a retrospective study of 151 consecutive microvascular free tissue transfers compares the operating microscope with loupe magnification at tertiary care medical center.Medical records were reviewed for demographic data, preoperative radiation status, type of defect and flap, length of procedure, complications, and length of stay. Results: Two teams shared the reconstructions, with all microvascular anastomoses. The operating microscope was used for magnification in 84 cases, while the other used loupes in 67 cases. Complication rates were statistically similar for the 2 techniques, the length of procedure tended to be shorter in the loupe group, and the length of stay was statistically similar in both groups. Conclusions: Loupes can be used with comfort and easy access to and uncomplicated visualization of the operating field. The loupes may lower operating time and help avoid complicated equipment. The loupe magnification should be considered in the armamentarium of head and neck reconstruction without the fear of increased morbidity