Risk factors associated with early and late free flap complications in head and neck osseous reconstruction - UFR SVE Sciences de la vie et de l'environnement Accéder directement au contenu
Article Dans Une Revue European Archives of Oto-Rhino-Laryngology Année : 2023

Risk factors associated with early and late free flap complications in head and neck osseous reconstruction

Résumé

PURPOSE: This study was designed to identify risk factors for post-operative complications in micro-anastomosed osteomyocutaneous free flaps (MOFF) and analyzed their consequences in long term. METHODS: A retrospective review of 100 MOFF realized between May 2007 and October 2019 was performed. Demographic data, perioperative management and postoperative complications were enrolled and analyzed in a multivariate model. Patients were followed for ≥ 6 months. RESULTS: Major surgical complication rate was 20% with 5% of overall free flap failure rate and 6% of anastomosis salvage surgery. Risk identified for major surgical complication was alcohol consumption (p = 0.0054). Minor surgical complications occurred in 26% of patients mostly due to infections (19%). No significant risk factor was associated to minor surgical complications. Major and minor medical complication rates were, respectively, 10% and 10%. Risk identified for major medical complication were age over 70 (p = 0.0253) and history of chemotherapy (p = 0.0277). Risk identified for minor medical complication were alcohol consumption p = 0.0232) and a history of radiotherapy (p = 0.0329). CONCLUSIONS: Alcoholism is an independent risk factor for the surgical complication of MOFF that must be taken into account before surgery. Patients with a history of chemotherapy, radiotherapy or who are over 70 years of age are at greater risk of postoperative medical complications and require special attention.

Domaines

Cancer
Fichier non déposé

Dates et versions

hal-03777438 , version 1 (14-09-2022)

Identifiants

Citer

Cassandre Lambert, Gwenaelle Creff, Vincent Mazoue, Paul Coudert, Olivier de Crouy Chanel, et al.. Risk factors associated with early and late free flap complications in head and neck osseous reconstruction. European Archives of Oto-Rhino-Laryngology, 2023, 280 (2), pp.811-817. ⟨10.1007/s00405-022-07619-w⟩. ⟨hal-03777438⟩
24 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More