ArticlePlastic and reconstructive surgery. Global open2026
Prehabilitation in Head and Neck Surgery and Reconstruction.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Head and neck surgery and reconstruction for malignancy often results in significant functional, nutritional, and psychological morbidity that can delay recovery and impair quality of life. Prehabilitation offers a multimodal, proactive approach to optimize patients before surgery by targeting modifiable risk factors and baseline impairments. Methods: In this narrative review, we synthesized current evidence and clinical guidelines across 6 domains of prehabilitation, medical risk assessment, nutritional optimization, swallowing therapy, pain management, physical conditioning, and psychological support, to provide a practical framework for perioperative teams. Results: Early identification and treatment of tobacco, alcohol, and cannabis use, along with correction of preoperative anemia, can reduce perioperative morbidity and the need for transfusion. Nutritional prehabilitation initiated at or near the time of diagnosis, and ideally continued throughout neoadjuvant therapy, uses validated screening tools; individualized dietetic counseling; and, when indicated, immunonutrition and enteral support to mitigate malnutrition and improve wound healing. Baseline swallowing assessment with bedside screening and instrumental studies, followed by targeted exercise programs, helps preserve function and support adequate oral intake. Preoperative multimodal analgesia, structured aerobic and resistance exercise (including respiratory training), and psychological interventions, such as psychoeducation and cognitive behavioral therapy, collectively enhance adherence to rehabilitation, support emotional coping, and improve functional recovery. Conclusions: Multimodal, multidisciplinary prehabilitation should be considered an essential component of surgical preparation for patients undergoing head and neck surgery and reconstruction, with patient-centered care plans tailored to individual risk profiles to improve postoperative outcomes and overall quality of life.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.