Improving Quality and Value in Head and Neck Reconstruction

Kiran Kakarala; Matthew Mifsud; Peter Dziegielewski

doi:10.1016/j.otc.2023.04.019

Improving Quality and Value in Head and Neck Reconstruction

Otolaryngol Clin North Am. 2023 Aug;56(4):853-858. doi: 10.1016/j.otc.2023.04.019.

Authors

Kiran Kakarala¹, Matthew Mifsud², Peter Dziegielewski³

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA. Electronic address: [email protected].
² Department of Otolaryngology-Head and Neck Surgery, University of South Florida School of Medicine, 13330 USF Laurel Drive, Tampa, FL 33612, USA.
³ Department of Otolaryngology-Head and Neck Surgery, University of Florida School of Medicine, 1600 Southwest Archer Road, D1-121, Gainesville, FL 32608, USA.

PMID: 37380327
DOI: 10.1016/j.otc.2023.04.019

Abstract

Multiple advances in surgical techniques, technology, and perioperative patient care have revolutionized head and neck reconstruction over the last 40 years. Concurrent with these advances, health systems, patients, and payers have become increasingly focused on value and quality, owing in part to rapidly increasing health care costs. However, there is no consensus on how to define value and quality in the realm of head and neck reconstruction. This review focuses on the past, present, and future of quality improvement efforts in head and neck reconstruction.

Keywords: Cost; ERAS; Free flap; Head and neck reconstruction; Improvement; Microvascular; Quality; Value.

Publication types

Review

MeSH terms

Consensus
Head*
Humans
Neck*
Perioperative Care
Quality Improvement