Outcomes in Head and Neck Free Flap Reconstruction Among Patients With a History of Venous Thromboembolism.
Publication/Presentation Date
2-1-2022
Abstract
OBJECTIVE: To investigate if a history of venous thromboembolism (VTE) is a risk factor for complications in head and neck free flap surgery by assessing outcomes among patients with a history of deep vein thrombosis (DVT) and/or pulmonary embolism (PE).
STUDY DESIGN: Retrospective cohort study.
SETTING: Single tertiary care center.
METHODS: All patients undergoing head and neck free flap reconstruction at our institution between September 1, 2006, and April 2, 2020, were assessed for inclusion. Patients with and without a history of DVT or PE preoperatively were identified and grouped for comparison. Groups were compared for demographics, comorbidities, and 30-day complications. Significance was assessed with chi-square and binary logistic regression analyses.
RESULTS: Of the 1061 patients meeting inclusion criteria, 40 (3.8%) had a history of VTE. These patients were significantly older (mean [SD], years: 67.8 [11.7] vs 63.0 [14.1],
CONCLUSION: Patients with a history of VTE may be at an increased risk for free flap compromise secondary to postoperative pedicle thrombosis. This risk should be considered in preoperative workup and postoperative monitoring.
Volume
166
Issue
2
First Page
267
Last Page
273
ISSN
1097-6817
Published In/Presented At
Crippen, M. M., Ganti, R. S., Xu, V., Swendseid, B., Tzeng, D. L., & Curry, J. (2022). Outcomes in Head and Neck Free Flap Reconstruction Among Patients With a History of Venous Thromboembolism. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 166(2), 267–273. https://doi.org/10.1177/01945998211011999
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
34060945
Department(s)
Administration and Leadership
Document Type
Article