کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5642654 1586239 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Hardware complications in oromandibular defects: Comparing scapular and fibular based free flap reconstructions
ترجمه فارسی عنوان
عوارض سخت افزاری در نقایص نارسایی مزمن: مقایسه بازسازی فلاپ آزاد فک پایین و فلاپال
کلمات کلیدی
بازسازی اوروماندیبولار، فلاپ آزاد سلول اسکواموس، کارسینوما سخت افزار، عوارض، بازسازی مندیبول،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی


- Hardware complications are common in free flap reconstruction of the mandible.
- Retrospective review comparing fibula and scapula free flaps in reconstruction.
- Defect and flap type and surgical site infection were predictors of complications.
- Scapular free flaps were independently associated with a lower complication rates.

BackgroundDespite improvements in surgical technique and technology, hardware complications occur relatively frequently. This study analyzes hardware complications in patients undergoing oromandibular reconstruction using scapular (SFF) or fibular (FFF) free flaps.MethodsRetrospective data for 178 patients was obtained (1999-2014) at University Hospital Network (Toronto, Canada). Univariable and multivariable analyses were performed to identify risk factors for hardware complications.ResultsPatients with FFF reconstruction (n = 129) had significantly more hardware complications than those with SFF (n = 49) (16% vs. 2%;p = 0.01). Surgical site infection (SSI) (OR = 7.05; p < 0.01), defect type (OR = 2.63; p < 0.01) and flap (OR = 0.12; p = 0.01) were significant predictors of hardware complications on univariable analysis. Flap type (OR = 0.12; p = 0.04) was an independent predictor of plate complication after adjusting for SSI. A subgroup analysis suggested a trend towards fewer hardware complications with SFF stratified by mandibular defect type.ConclusionsScapular free flaps are associated with a lower rate of hardware-related complications in oromandibular reconstruction.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Oral Oncology - Volume 71, August 2017, Pages 163-168
نویسندگان
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