Obesity and perioperative complications in head and neck free tissue reconstruction

被引：39
|
作者：
de la Garza, Gabriel [1 ]
Militsakh, Oleg [2 ]
Panwar, Aru [2 ]
Galloway, Tabitha L. [3 ]
Jorgensen, Jeffrey B. [3 ]
Ledgerwood, Levi G. [4 ]
Kaiser, Katelyn [4 ]
Kitzerow, Collin [4 ]
Shnayder, Yelizaveta [4 ]
Neumann, Colin A. [5 ]
Khariwala, Samir S. [5 ]
Spanos, W. Chad [6 ]
Pagedar, Nitin A. [1 ]
机构：
[1] Univ Iowa Hosp & Clin, Dept Otolaryngol Head & Neck Surg, 200 Hawkins Dr,21256 PFP, Iowa City, IA 52242 USA
[2] Univ Nebraska, Dept Otolaryngol Head & Neck Surg, Omaha, NE 68182 USA
[3] Univ Missouri, Dept Otolaryngol Head & Neck Surg, Columbia, MO USA
[4] Univ Kansas, Dept Otolaryngol Head & Neck Surg, Kansas City, KS USA
[5] Univ Minnesota, Dept Otolaryngol Head & Neck Surg, Minneapolis, MN USA
[6] Sanford Clin, Sioux Falls, SD USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2016年 / 38卷
关键词：
obesity; free flap; reconstruction; complications; outcomes; BODY-MASS INDEX; FREE-FLAP RECONSTRUCTION; SQUAMOUS-CELL CARCINOMA; RISK-FACTORS; CANCER; MORBIDITY; MORTALITY; OUTCOMES;
D O I：
10.1002/hed.24189
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background. Free tissue transfer is a mainstay in reconstruction of complex head and neck defects. The purpose of this study was to determine if perioperative complications were more common in patients with body mass index (BMI) >30 kg/m(2) undergoing free flap reconstruction. Methods. A multi-institutional retrospective cohort was created. Medical complications, surgical complications, and procedural variables were recorded. Logistic regression was used to investigate univariate and multivariate associations between outcomes and predictors. Results. Of 582 cases, 128 patients (22%) had BMI >30. Surgical complications occurred in 153 cases (26.3%), with an adjusted odds ratio (OR) for association of surgical complications with BMI > 30 of 0.92 (p=.71). Medical complications occurred in 178 cases (30.6%), with an adjusted OR of 0.78 (p=.26). Age and advanced comorbidity status (Adult Comorbidity Evaluation-27 [ACE-27] 2 or 3) were associated with medical complications (p<.0001). Conclusion. BMI > 30 does not predict medical or surgical complications in patients undergoing head and neck free flap surgery. (C) 2015 Wiley Periodicals, Inc.
引用
收藏
页码：E1188 / E1191
页数：4
相关论文
共 50 条
  • [21] Predicting length of stay in head and neck patients who undergo free flap reconstruction
    Lindeborg, Michael M.
    Sethi, Rosh K. V.
    Puram, Sidharth V.
    Parikh, Anuraag
    Yarlagadda, Bharat
    Varvares, Mark
    Emerick, Kevin
    Lin, Derrick
    Durand, Marlene L.
    Deschler, Daniel G.
    LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY, 2020, 5 (03): : 461 - 467
  • [22] Predictive value of the ACS NSQIP calculator for head and neck reconstruction free tissue transfer
    Tierney, William
    Shah, Janki
    Clancy, Kate
    Lee, Maxwell Y.
    Ciolek, Peter J.
    Fritz, Michael A.
    Lamarre, Eric D.
    LARYNGOSCOPE, 2020, 130 (03) : 679 - 684
  • [23] Timing of radiotherapy in head and neck free flap reconstruction - a study of postoperative complications
    Halle, M.
    Bodin, I.
    Tornvall, P.
    Wickman, M.
    Farnebo, F.
    Arnander, C.
    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (07) : 889 - 895
  • [24] Long-Term Complications of Osteocutaneous Free Flaps in Head and Neck Reconstruction
    Swendseid, Brian
    Kumar, Ayan
    Sweeny, Larissa
    Wax, Mark K.
    Zhan, Tingting
    Goldman, Richard A.
    Krein, Howard
    Heffelfinger, Ryan N.
    Luginbuhl, Adam J.
    Curry, Joseph M.
    OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2020, 162 (05) : 641 - 648
  • [25] Microvascular reconstruction of head and neck defects in the elderly
    Every, James
    Subramaniam, Narayana
    Dawson, Rebecca
    Ch'ng, Sydney
    Low, Tsu-Hui
    Palme, Carsten E.
    Clark, Jonathan
    Wykes, James
    ANZ JOURNAL OF SURGERY, 2021, 91 (05) : 969 - 974
  • [26] Effect of operative time on complications associated with free flap reconstruction of the head and neck
    Irawati, Nina
    Every, James
    Dawson, Rebecca
    Leinkram, David
    Elliott, Michael
    Ch'ng, Sydney
    Low, Hubert
    Palme, Carsten E.
    Clark, Jonathan
    Wykes, James
    CLINICAL OTOLARYNGOLOGY, 2023, 48 (02) : 175 - 181
  • [27] Head and Neck Free Flap Reconstruction in an Academic versus a Community Setting
    Lewcun, Joseph
    Massand, Sameer
    Trangucci, John
    Shen, Chan
    Johnson, Timothy S.
    JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2022, 38 (06) : 466 - 471
  • [28] Social Determinants of Health Impact Complications Following Free-Flap Reconstruction for Head and Neck Cancer
    Goldberg, Zachary N.
    Jain, Amiti
    Wu, Richard
    Cognetti, David M.
    Goldman, Richard A.
    OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2025, 172 (01) : 91 - 99
  • [29] American Society of Anesthesiologists Class as Predictor for Perioperative Morbidity in Head and Neck Free Flaps
    Small, Luke T.
    Lampkin, Madison
    Vural, Emre
    Moreno, Mauricio A.
    OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2019, 161 (01) : 91 - 97
  • [30] Use of multiple free flaps in head and neck reconstruction
    Hsieh, Tsung-yen
    Bewley, Arnaud
    CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2019, 27 (05) : 392 - 400
12345