Free flap reconstruction following head and neck trauma.
Abstract
[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.
[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.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 2 | |
| 해부 | flap
|
scispacy | 1 | ||
| 해부 | osseous
|
scispacy | 1 | ||
| 합병증 | wounds
|
scispacy | 1 | ||
| 합병증 | GSW
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] Free
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS]
|
scispacy | 1 | ||
| 약물 | FF failures
|
scispacy | 1 | ||
| 질환 | head and neck trauma
|
scispacy | 1 | ||
| 질환 | traumatic injuries
|
C0043251
Wounds and Injuries
|
scispacy | 1 | |
| 질환 | traumatic injury
|
C0043251
Wounds and Injuries
|
scispacy | 1 | |
| 질환 | GSW
|
C4724387
Swiss German Language
|
scispacy | 1 | |
| 질환 | head and neck
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
Adolescent; Adult; Aged; Female; Humans; Male; Middle Aged; Young Adult; Accidents, Traffic; Craniocerebral Trauma; Free Tissue Flaps; Neck Injuries; Patient Readmission; Plastic Surgery Procedures; Retrospective Studies; Treatment Outcome; Wounds, Gunshot
📑 인용 관계
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- Endodontic implications of hypercementosis: A systematic review of anatomical challenges and therapeutic strategies.
- Breast plastic surgery in perimenopausal and postmenopausal women: Menopause-informed counseling on screening, safety, and long-term breast health.
- Application of the SCIA-Pure Skin Perforator Flap in Bilateral Upper Eyelid Reconstruction: A Case Report and Review of the Literature.
- Free flap reconstruction of a cast-related pressure ulcer in a pediatric patient with spinal muscular atrophy.
- Characterization of Trimmed Nerve Morphology Using High-Resolution Imaging: Comparison of Three Surgical Instruments.