Risk factors for wound complications in head and neck reconstruction

773 free jejunal reconstruction procedures after total pharyngolaryngoesophagectomy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)2057-2069
Number of pages13
JournalHead and Neck
Volume39
Issue number10
DOIs
Publication statusPublished - Oct 1 2017

Fingerprint

Abscess
Necrosis
Neck
Head
Cutaneous Fistula
Wounds and Injuries
Hypopharyngeal Neoplasms
Skin
Fistula
Cardiovascular Diseases
Transplants

Keywords

  • head and neck reconstruction
  • multi-institutional study
  • multivariate analysis
  • risk factor
  • wound complication

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

@article{077c61b0d9974581865f18e172fa8198,
title = "Risk factors for wound complications in head and neck reconstruction: 773 free jejunal reconstruction procedures after total pharyngolaryngoesophagectomy",
abstract = "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.",
keywords = "head and neck reconstruction, multi-institutional study, multivariate analysis, risk factor, wound complication",
author = "Narushi Sugiyama and Soshi Takao and Etsuji Suzuki and Yoshihiro Kimata",
year = "2017",
month = "10",
day = "1",
doi = "10.1002/hed.24874",
language = "English",
volume = "39",
pages = "2057--2069",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "John Wiley and Sons Inc.",
number = "10",

}

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

PY - 2017/10/1

Y1 - 2017/10/1

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

VL - 39

SP - 2057

EP - 2069

JO - Head and Neck

JF - Head and Neck

SN - 1043-3074

IS - 10

ER -