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Risk Factors of Free Flap Complications in Reconstruction for Head and Neck Cancer
https://repository.lib.tottori-u.ac.jp/records/4650
https://repository.lib.tottori-u.ac.jp/records/4650d3733af3-6f25-4401-ad02-ac65317d58b3
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
yam65(3)_215.pdf (781.7 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2022-09-07 | |||||
| タイトル | ||||||
| タイトル | Risk Factors of Free Flap Complications in Reconstruction for Head and Neck Cancer | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題 | flap complication | |||||
| キーワード | ||||||
| 主題 | free flaps | |||||
| キーワード | ||||||
| 主題 | head and neck cancer | |||||
| キーワード | ||||||
| 主題 | microsurgery | |||||
| キーワード | ||||||
| 主題 | risk factors | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | flap complication | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | free flaps | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | head and neck cancer | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | microsurgery | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | risk factors | |||||
| 資源タイプ | ||||||
| 資源タイプ | journal article | |||||
| 著者 |
陶山, 淑子
× 陶山, 淑子× 八木, 俊路朗× Fukuoka, Kohei× 金城, 文× 福原, 隆宏× 藤原, 和典× 小谷, 勇× 尾崎, 米厚× Fukuoka, Kohei× Morita, Maki |
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| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Plastic and Reconstructive Surgery, Tottori University Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Plastic and Reconstructive Surgery, Tottori University Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Plastic and Reconstructive Surgery, Tottori University Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Plastic and Reconstructive Surgery, Tottori University Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Social Medicine, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Otolaryngology, Head and Neck Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Otolaryngology, Head and Neck Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Oral and Maxillofacial Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Social Medicine, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 抄録 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Background: Although head and neck reconstruction using free flaps has become a common procedure, flap complications remain a concern. This study aimed to analyze the risk factors of free flap complications and to identify the causes of these complications. Methods: We studied 97 patients with head and neck cancer with intraoral defects who underwent reconstruction using free flaps at Tottori University Hospital between 2011 and 2020. We used a retrospective cohort study design to investigate whether flap complications, including flap necrosis (total and partial) and flap dehiscence, were related to various factors, including the underlying disease condition, treatment status, and surgical factors. Results: Of the 97 patients analyzed, total flap necrosis was observed in one patient (1.0%). The incidence rate of flap complications, including flap necrosis and flap dehiscence, was 29.9%. When the time taken to perform one vascular anastomosis, including preparation of the recipient vessel and flap vessel, exceeded 30 min, the incidence rates of flap necrosis (total and partial) (odds ratio, 8.30; 95% confidence interval, 1.91-36.00; P = 0.005) and flap dehiscence (odds ratio, 3.46; 95% confidence interval, 1.05-11.36; P = 0.041) increased significantly. Conclusion: The time taken to perform one vessel anastomosis was the factor that contributed the most to the incidence of flap complications. Reconstructive surgeons should reduce the incidence of flap complications by keeping the known risk factors of the surgery in mind and by aiming to complete a vascular anastomosis time, including the time taken for the preparation of vessels, of ≤ 30 min per vessel during surgery. | |||||
| 書誌情報 |
Yonago Acta Medica en : Yonago Acta Medica 巻 65, 号 3, p. 215-225, 発行日 2022-08-29 |
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| 出版者 | ||||||
| 出版者 | Tottori University Medical Press | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 05135710 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00892882 | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.33160/yam.2022.08.007 | |||||
| 権利 | ||||||
| 権利情報 | (C) 2022 Tottori University Medical Press. | |||||
| 情報源 | ||||||
| 関連名称 | Yonago Acta Medica. 2022, 65(3), 215-225. doi:10.33160/yam.2022.08.007 | |||||
| 関連サイト | ||||||
| 識別子タイプ | URI | |||||
| 関連識別子 | https://www.lib.tottori-u.ac.jp/yam/yam/yam65-3/65-3contents.html | |||||
| 関連名称 | https://www.lib.tottori-u.ac.jp/yam/yam/yam65-3/65-3contents.html | |||||
| 関連サイト | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.33160/yam.2022.08.007 | |||||
| 関連名称 | https://doi.org/10.33160/yam.2022.08.007 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| EISSN | ||||||
| 値 | 13468049 | |||||
