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
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