A prospective study on prognostic factors for free-flap reconstructions of head and neck defects

被引：59
|
作者：
Rosenberg, A. J. W. P. [1 ]
Van Cann, E. M. [1 ]
van der Bilt, A. [1 ]
Koole, R. [1 ]
van Es, R. J. J. [1 ]
机构：
[1] Univ Med Ctr Utrecht, Dept Oral & Maxillofacial Surg, NL-3584 CX Utrecht, Netherlands
来源：
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 2009年 / 38卷 / 06期
关键词：
prognostic factors; medical complications; surgical complications; free flap reconstruction; head and neck area; free flap; oncology; oral oncology; micro-vascular reconstruction; PERCUTANEOUS CORONARY INTERVENTIONS; FREE-TISSUE TRANSFERS; MICROVASCULAR RECONSTRUCTION; GENDER-DIFFERENCES; COMPLICATIONS; SURGERY; EXPERIENCE; MORBIDITY; MORTALITY; OUTCOMES;
D O I：
10.1016/j.ijom.2009.01.012
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
The purpose of this Study is to examine a cohort of patients with free-flap reconstruction prospectively and to identify the prognostic factors for postoperative medical and surgical complications. All 150 patients required a free-flap reconstruction after ablative surgery for a defect in the head and neck area. Medical complications and major surgical complications were correlated with patient factors. An ASA score of 3 and male gender were statistically significant prognostic factors for medical complications. The ASA scoring system is a slightly better prognostic factor for medical complications than Charlson comorbidity stage oil forward logistic regression analysis. Female gender and an operation time exceeding 10 h were statistically significant prognostic factors for major Surgical complications.
引用
收藏
页码：666 / 670
页数：5
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