Incidence of cerebrovascular accident following head and neck free tissue transfer surgery.
Cerebrovascular accident
Free tissue transfer flaps
Neck dissection
Perioperative period
Reconstructive surgery
Journal
International journal of oral and maxillofacial surgery
ISSN: 1399-0020
Titre abrégé: Int J Oral Maxillofac Surg
Pays: Denmark
ID NLM: 8605826
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
16
09
2021
revised:
09
06
2022
accepted:
13
06
2022
pubmed:
7
7
2022
medline:
25
2
2023
entrez:
6
7
2022
Statut:
ppublish
Résumé
The aim of this study was to determine the incidence of postoperative cerebrovascular accident (CVA) following head and neck free tissue transfer and to identify predictive risk factors. A retrospective audit was performed of patients who underwent head and neck reconstructive surgery at Queen Elizabeth University Hospital between 2009 and 2020. The patient records were analysed to identify those who developed CVA within 30 days after surgery. A total of 1109 patients underwent head and neck free tissue transfer surgery, including 1048 neck dissection procedures. Of these, 78.6% had one or more identified risk factors for perioperative stroke. Five patients (0.45%) developed postoperative CVA. The results showed that CVA correlated to patients with hypercholesterolemia (P = 0.007). This study demonstrates the safety of free tissue transfer. Despite underlying co-morbidities and risk factors, the incidence of CVA is low following surgery and manipulation of the major vasculature of the neck.
Identifiants
pubmed: 35791995
pii: S0901-5027(22)00265-X
doi: 10.1016/j.ijom.2022.06.006
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
328-333Informations de copyright
Crown Copyright © 2022. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Competing interests None.