Postoperative care after head and neck free flap reconstruction: ICU versus Otolaryngology ward

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an observational comparison of postoperative outcomes for patients undergoing head and neck reconstructive surgery with microvascular free or pedicled flaps who are admitted either to the ICU or to an Otolaryngology specialty ward at a single center. The study will record major and minor complications, flap failure rates, and length of hospital stay, with particular attention to the first 48–72 hours when vascular complications are most likely. Investigators will compare rates of nosocomial infection, need for flap salvage, and resource use between the two care pathways. Results aim to clarify which patients truly need ICU-level monitoring versus safe ward-based care.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* patients undergoing Head and Neck oncological demolitive surgery and reconstruction using free or pedicled flaps at the Fondazione IRCCS Policlinico San Matteo, Pavia

Exclusion Criteria:

* patients treated for Head and Neck cancer without flap reconstruction (e.g., only chemotherapy-radiotherapy, only radiotherapy, only immunotherapy).

Where it's running

• Fondazione IRCCS Policlinico San Matteo
  Pavia, Lombardy, Italy Recruiting

Study contacts

• Study coordinator: Simone Mauramati
• Email: s.mauramati@smatteo.pv.it
• Phone: +39 3668734310

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.