TY - JOUR
T1 - Risk factors for wound complications in head and neck reconstruction
T2 - 773 free jejunal reconstruction procedures after total pharyngolaryngoesophagectomy
AU - Sugiyama, Narushi
AU - Takao, Soshi
AU - Suzuki, Etsuji
AU - Kimata, Yoshihiro
N1 - Funding Information:
The present study used data from a past survey entitled “Research for establishing plastic and reconstructive surgery for surgical cancer therapy” that was supported by a Grant-in-Aid for Cancer Research (grant 17-5) from the Ministry of Health, Labor, and Welfare of Japan. Permission for use of the data was newly obtained from the institutional review boards of all participating institutions. We previously reported the risk factors for thrombosis in microsurgical head and neck reconstruction using the same data.18
Publisher Copyright:
© 2017 Wiley Periodicals, Inc.
PY - 2017/10
Y1 - 2017/10
N2 - Background: Most studies that examined risk factors for wound complications after head and neck reconstruction analyzed various complications collectively. Moreover, they included a wide variety of resection areas and reconstruction materials. To overcome these limitations, both the resection area and reconstruction method were constrained in the present study. Methods: Patients who underwent free jejunal graft reconstruction after pharyngolaryngoesophagectomy for hypopharyngeal cancer were enrolled. The outcomes of interest were abscesses, fistulas, and cervical skin flap necrosis. Results: Abscesses, fistulas, and cervical skin flap necrosis developed in 19.3%, 11.3%, and 8.2% of 773 patients, respectively. A significant relationship was found between use of an open drain and abscess formation and between a longer operation time and cervical skin flap necrosis. Conclusion: Our findings suggest that use of an open drain, cardiovascular disease, and a longer operation time are significant risk factors for abscess formation, fistula formation, and cervical skin flap necrosis, respectively.
AB - Background: Most studies that examined risk factors for wound complications after head and neck reconstruction analyzed various complications collectively. Moreover, they included a wide variety of resection areas and reconstruction materials. To overcome these limitations, both the resection area and reconstruction method were constrained in the present study. Methods: Patients who underwent free jejunal graft reconstruction after pharyngolaryngoesophagectomy for hypopharyngeal cancer were enrolled. The outcomes of interest were abscesses, fistulas, and cervical skin flap necrosis. Results: Abscesses, fistulas, and cervical skin flap necrosis developed in 19.3%, 11.3%, and 8.2% of 773 patients, respectively. A significant relationship was found between use of an open drain and abscess formation and between a longer operation time and cervical skin flap necrosis. Conclusion: Our findings suggest that use of an open drain, cardiovascular disease, and a longer operation time are significant risk factors for abscess formation, fistula formation, and cervical skin flap necrosis, respectively.
KW - head and neck reconstruction
KW - multi-institutional study
KW - multivariate analysis
KW - risk factor
KW - wound complication
UR - http://www.scopus.com/inward/record.url?scp=85029493978&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029493978&partnerID=8YFLogxK
U2 - 10.1002/hed.24874
DO - 10.1002/hed.24874
M3 - Article
C2 - 28736943
AN - SCOPUS:85029493978
SN - 1043-3074
VL - 39
SP - 2057
EP - 2069
JO - Head and Neck
JF - Head and Neck
IS - 10
ER -
