Mark Kubik, MD

Head and Neck Surgeon

[Wow Terrifying @RikeshK28597982]

1980's construction worker Albert Stalk didn't mess about.. 😮 WOW

[Pitt Head & Neck Surgery @PittHeadAndNeck]

UPMC Advanced Head and Neck Oncologic and Microvascular Reconstructive Surgery Fellowship

Details and Attendings

https://t.co/5MVCSNAEcO

@duvvuri_md @jpzevallos @RobertFerrisMD @ShaumSridharan @MarkKubikMD @TahaMur @OtoPitt

[Mark Kubik, MD @MarkKubikMD]

@BoggingAround @WendeNGibbs Good point

[Mark Kubik, MD @MarkKubikMD]

@TopfHNS @AHNSinfo @JAMAOto @HNSurgeon @DrNeilGross @DrDavidCognetti @JosephMCurryMD @langermology @NikkiSchmittMD @EbenRosenthal @DrUppaluri @NGoyalMD @FadenLab @TassoneHNS @PhilipsRamez @nicholslab1 @VinPaleri @GorphePhilippe @johnhardman Also though there is some retrospective data suggesting ND increases fistula rates, this has not been our experience at Pitt. All these patients get flaps

[Mark Kubik, MD @MarkKubikMD]

@TopfHNS @AHNSinfo @JAMAOto @HNSurgeon @DrNeilGross @DrDavidCognetti @JosephMCurryMD @langermology @NikkiSchmittMD @EbenRosenthal @DrUppaluri @NGoyalMD @FadenLab @TassoneHNS @PhilipsRamez @nicholslab1 @VinPaleri @GorphePhilippe @johnhardman I would say my practice is very case by case and closely parallels the conclusions in this paper. I will frequently observe the NO neck in salvage laryngectomy. However, advanced t stage, supraglottic/hypopharyngeal primary drive me to do the ND.

[Mark Kubik, MD @MarkKubikMD]

https://t.co/I3mdJ67q3P Nice article from the Penn group

[Mark Kubik, MD @MarkKubikMD]

Case of the week. Not my first choice for tubed reconstruction but RFFF was selected due to BMI / skin thickness of the thigh.

[JAMA Otolaryngology – Head & Neck Surgery @JAMAOto]

In this cohort study, #obesity was associated with an increased risk of #VenousThromboembolism in patients after microvascular head and neck reconstruction and while on standard postoperative chemoprophylaxis regimens. https://t.co/6ngNQfCgOB #Research

[Mark Kubik, MD @MarkKubikMD]

@AaronGoodman33 And this is next…fibular flap

[Mark Kubik, MD @MarkKubikMD]

VSP is not all about the bone. Great example of nerve lateralization in benign pathology.

[Mark Kubik, MD @MarkKubikMD]

Case of the week. VSP assisted reduction after facial GSW. Mandibular reconstruction with scapula due to peripheral vascular disease. This case really highlights the value of this technology.

[Mark Kubik, MD @MarkKubikMD]

@GerekMeinhardt @leetothekiefer Pretty awesome

[Mark Kubik, MD @MarkKubikMD]

VSP is not all about the bone. Great example of nerve lateralization in benign pathology.

[The Modern Surgeon @modern_surgeon]

Anyone can be taught the skills to operate. What can't be taught is the desire to be in the OR, the confidence required to cut into a living human, and the humility to respect the things you cannot fix. Anyone can operate, but not all can become a surgeon.

[Mark Kubik, MD @MarkKubikMD]

We use it for all head and neck microsurgical cases at Pitt unless there is a contraindication (rare). We have found no increase in flap complications

[Robert Hinchliffe @robhinchliffe1]

If you aren’t routinely using tranexamic acid in surgery, why not? “We have the evidence, we now need to act on it.” The UK Royal Colleges Tranexamic Acid in Surgery Implementation Group. https://t.co/xYrSTscD43

[Mark Kubik, MD @MarkKubikMD]

This was the case of the week. Great collaboration with our oral surgery colleagues at Pitt. Primary implants are essential to dental rehabilitation in the case of required adjuvant radiation. @PittHeadAndNeck

[Pitt Oto @OtoPitt]

Check out @MarkKubikMD and PGY5 Dr. Jimenez working with PGY 3 Dr. Fung to prep the inset of a free flap. #chiefresident #pgy3 #freeflap #otolaryngology #surgicaleducation #ent

[Mark Kubik, MD @MarkKubikMD]

Very interesting. Is this done routinely by pathology in margin assessment ?

[Michael Topf MD, MSCI @TopfHNS]

We have found that 3D scanning of complex oral cavity composite resections can be particularly useful for communication among head and neck cancer team members #CADmargin #3Dscanning #oralcavitycancer @Alexis_B_Miller @_KavitaPrasad

[Mark Kubik, MD @MarkKubikMD]

All great comments
Sometimes the pedicle is an issue - agree
We are studying this and the relationship to swallowing outcomes is unclear in retrospective analysis
Below - example of incorporating into VSP plan

@MarkusBlaurock @mcmullen_dr @StergiosDoumas

[Dr. Caitlin McMullen @mcmullen_dr]

@MarkKubikMD @PittHeadAndNeck @MarkKubikMD great question!!! I always try to do this if I safely can, but not if there is any chance the suspension suture could compromise the flap pedicle….

[Mark Kubik, MD @MarkKubikMD]

@lshnayderMD @DrGregFarwell @AAOHNS @Penn_ENT Great session. Really enjoyed it!