Journal article
Obesity and perioperative complications in head and neck free tissue reconstruction
Head & neck, Vol.38 Suppl 1(S1), pp.E1188-E1191
04/2016
DOI: 10.1002/hed.24189
PMCID: PMC4894301
PMID: 26268587
Abstract
Free tissue transfer is a mainstay in reconstruction of complex head and neck defects. The purpose of this study was to determine if perioperative complications were more common in patients with body mass index (BMI) >30 kg/m(2) undergoing free flap reconstruction.
A multi-institutional retrospective cohort was created. Medical complications, surgical complications, and procedural variables were recorded. Logistic regression was used to investigate univariate and multivariate associations between outcomes and predictors.
Of 582 cases, 128 patients (22%) had BMI >30. Surgical complications occurred in 153 cases (26.3%), with an adjusted odds ratio (OR) for association of surgical complications with BMI >30 of 0.92 (p = .71). Medical complications occurred in 178 cases (30.6%), with an adjusted OR of 0.78 (p = .26). Age and advanced comorbidity status (Adult Comorbidity Evaluation-27 [ACE-27] 2 or 3) were associated with medical complications (p < .0001).
BMI >30 does not predict medical or surgical complications in patients undergoing head and neck free flap surgery. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1188-E1191, 2016.
Details
- Title: Subtitle
- Obesity and perioperative complications in head and neck free tissue reconstruction
- Creators
- Gabriel de la Garza - University of IowaOleg Militsakh - University of Nebraska at OmahaAru Panwar - University of Nebraska at OmahaTabitha L Galloway - University of MissouriJeffrey B Jorgensen - University of MissouriLevi G Ledgerwood - University of KansasKatelyn Kaiser - University of KansasCollin Kitzerow - University of KansasYelizaveta Shnayder - University of KansasColin A Neumann - University of MinnesotaSamir S Khariwala - University of MinnesotaW Chad Spanos - The Sanford Clinic, Sioux Falls, South DakotaNitin A Pagedar - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.38 Suppl 1(S1), pp.E1188-E1191
- DOI
- 10.1002/hed.24189
- PMID
- 26268587
- PMCID
- PMC4894301
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Grant note
- K23 DE023572 / NIDCR NIH HHS
- Language
- English
- Date published
- 04/2016
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984312245502771
Metrics
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