2017年10月
Risk factors for wound complications in head and neck reconstruction: 773 free jejunal reconstruction procedures after total pharyngolaryngoesophagectomy
Head & Neck
- ,
- ,
- ,
- 巻
- 39
- 号
- 10
- 開始ページ
- 2057
- 終了ページ
- 2069
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1002/hed.24874
- 出版者・発行元
- Wiley
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.
- リンク情報
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- DOI
- https://doi.org/10.1002/hed.24874
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/28736943
- Web of Science
- https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000410553500016&DestApp=WOS_CPL
- URL
- https://onlinelibrary.wiley.com/doi/full/10.1002/hed.24874
- ID情報
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- DOI : 10.1002/hed.24874
- ISSN : 1043-3074
- eISSN : 1097-0347
- PubMed ID : 28736943
- Web of Science ID : WOS:000410553500016