Free flap reconstruction following head and neck trauma.

Autor: Sweeny L; Department of Otolaryngology - Head and Neck Surgery, University of Miami, Miami, Florida, USA.; Surgical Care Division, Miami Veterans Affairs Health Care System, Miami, Florida, USA., Kane AC; Department of Otolaryngology, University of Mississippi, Jackson, Mississippi, USA., Thomas CM; Department of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA., Futran N; Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, Washington, USA., Curry JM; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Bur AM; Department of Otolaryngology - Head and Neck Surgery, University of Kansas, Kansas City, Kansas, USA., Lu GN; Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, Washington, USA., Shukla A; Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, Washington, USA., Skoog H; Department of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA., Pena Garcia JA; Department of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA., Alnemri AE; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Alapati R; Department of Otolaryngology - Head and Neck Surgery, University of Kansas, Kansas City, Kansas, USA., DiLeo M; Department of Otolaryngology, Louisiana State University Health Science Center - New Orleans, New Orleans, Louisiana, USA., Fuson A; Department of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA., Tan K; Oregon Health and Science University School of Medicine, Portland, Oregon, USA., Taghizadeh F; Oregon Health and Science University School of Medicine, Portland, Oregon, USA., Jefferson GD; Department of Otolaryngology, University of Mississippi, Jackson, Mississippi, USA., Petrisor D; Oregon Health and Science University School of Medicine, Portland, Oregon, USA., Wax MK; Oregon Health and Science University School of Medicine, Portland, Oregon, USA.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Jul 10. Date of Electronic Publication: 2024 Jul 10.
DOI: 10.1002/hed.27867
Abstrakt: Background: Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon.
Methods: Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103).
Results: Majority were gunshot wounds (GSW; 85%, n = 88) and motor vehicle accidents (11%, n = 11). Majority underwent osseous reconstruction (82%, n = 84). FF failures (9%, n = 9/103) occurred in GSW patients (100%, n = 9/9) and when multiple subsites were injured (89%, n = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (p = 0.01) and 30-day readmissions (4% vs. 17%) (p = 0.02).
Conclusions: All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.
(© 2024 The Author(s). Head & Neck published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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