头颈部外科全球拓展：伦理、规划与影响。
Head and neck surgery global outreach: Ethics, planning, and impact.
机构信息
Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
Department of Otolaryngology - Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
出版信息
Head Neck. 2021 Jun;43(6):1780-1787. doi: 10.1002/hed.26643. Epub 2021 Feb 14.
BACKGROUND
Head and neck surgical oncology and reconstruction are uniquely suited to address burdens of disease in underserved areas. Since these efforts are not well known in our specialty, we sought to understand global outreach throughout our society of surgeons.
METHODS
Survey distributed to members of the American Head and Neck Surgery involved in international humanitarian head and neck surgical outreach trips.
RESULTS
Thirty surgeons reported an average of seven trips to over 70 destinations. Identification of candidates, finances, on-site patient care, complications, long-term post-surgical care, ethics, and educational goals are reported. We report a success rate of 90% on 125 free flaps performed in these settings.
CONCLUSIONS
The effort to answer the call for alleviating the global burden of surgical disease is strong within our specialty. There is a shared focus on humanitarian effort and teaching. Ethics of high resource surgeries such as free flap reconstruction remains controversial.
背景
头颈肿瘤外科学和重建术非常适合解决服务不足地区的疾病负担问题。由于这些努力在我们的专业领域并不广为人知，我们试图了解我们外科医生协会成员的全球外展情况。
方法
向参与国际人道主义头颈外科外展旅行的美国头颈外科学会成员分发了一份调查。
结果
30 名外科医生报告说，他们平均有 7 次前往 70 多个目的地的旅行。报告中提到了候选人的确定、资金、现场患者护理、并发症、长期术后护理、伦理和教育目标。我们报告了在这些环境中进行的 125 例游离皮瓣手术的成功率为 90%。
结论
我们专业领域内，积极响应减轻全球外科疾病负担的呼吁的意愿非常强烈。大家都专注于人道主义努力和教学。关于游离皮瓣重建等高资源手术的伦理问题仍存在争议。
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