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  1. 学部学科区分一覧
  2. 医学部・医学系研究科・医学部附属病院
  1. 資料タイプ一覧
  2. 学術雑誌論文
  1. 鳥取大学の刊行物
  2. Yonago Acta Medica
  3. 65
  4. 3

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/4650
d3733af3-6f25-4401-ad02-ac65317d58b3
名前 / ファイル ライセンス アクション
yam65(3)_215.pdf yam65(3)_215.pdf (781.7 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2022-09-07
タイトル
言語 en
タイトル Risk Factors of Free Flap Complications in Reconstruction for Head and Neck Cancer
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

WEKO 3499
e-Rad 90448192
研究者総覧鳥取大学 100000372

陶山, 淑子

ja-Kana スヤマ, ヨシコ

en Suyama, Yoshiko

Search repository
八木, 俊路朗

× 八木, 俊路朗

WEKO 4213
e-Rad 00378192
研究者総覧鳥取大学 100001449

八木, 俊路朗

ja-Kana ヤギ, シュンジロウ

en Yagi, Shunjiro

Search repository
Fukuoka, Kohei

× Fukuoka, Kohei

WEKO 16629

Fukuoka, Kohei

ja-Kana フクオカ, コウヘイ

Search repository
金城, 文

× 金城, 文

WEKO 1516
e-Rad 50529427
研究者総覧鳥取大学 100001225

金城, 文

ja-Kana キンジョウ, アヤ

en Kinjo, Aya

Search repository
福原, 隆宏

× 福原, 隆宏

WEKO 405
e-Rad 80403418
研究者総覧鳥取大学 100001318

福原, 隆宏

ja-Kana フクハラ, タカヒロ

en Fukuhara, Takahiro

Search repository
藤原, 和典

× 藤原, 和典

WEKO 369
e-Rad 90403419
研究者総覧鳥取大学 100000417

藤原, 和典

ja-Kana フジワラ, カズノリ

en Fujiwara, Kazunori

Search repository
小谷, 勇

× 小谷, 勇

WEKO 1644
e-Rad 10294315
研究者総覧鳥取大学 100000151

小谷, 勇

ja-Kana コダニ, イサム

en Kodani, Isamu

Search repository
尾崎, 米厚

× 尾崎, 米厚

WEKO 2981
e-Rad 10325003
研究者総覧鳥取大学 100000120

尾崎, 米厚

ja-Kana オサキ, ヨネアツ

en Osaki, Yoneatsu

Search repository
Fukuoka, Kohei

× Fukuoka, Kohei

WEKO 16630

en Fukuoka, Kohei

ja-Kana フクオカ, コウヘイ

Search repository
Morita, Maki

× Morita, Maki

WEKO 16631

en Morita, Maki

Search repository
著者所属(英)
en
Department of Plastic and Reconstructive Surgery, Tottori University Hospital
著者所属(英)
en
Department of Plastic and Reconstructive Surgery, Tottori University Hospital
著者所属(英)
en
Department of Plastic and Reconstructive Surgery, Tottori University Hospital
著者所属(英)
en
Department of Plastic and Reconstructive Surgery, Tottori University Hospital
著者所属(英)
en
Department of Social Medicine, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
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)
en
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)
en
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)
en
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
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
13468049
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