Head & neck · 2019
Factors predisposing to the development of orocutaneous fistula following surgery for oral cancer: Experience from a tertiary cancer center.
СтатьяНазвание и аннотация: Перевод в очереди
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Girkar Farhana, Thiagarajan Shivakumar, Malik Akshat, Sawhney Shikhar, Deshmukh Anuja, Chaukar Devendra, D'Cruz Anil
Аннотация
BACKGROUND: Orocutaneous fistula (OCF) is one of the frequently encountered postoperative complications following surgery for oral cancer, leading to prolonged hospital stay and delay in the initiation of adjuvant therapy.
METHODS: We included all patients with oral cancer operated between January 2016 to December 2017 and at risk to develop an OCF. We assessed the incidence of OCF, its management, and factors predisposing to its development.
RESULTS: Of 587 eligible patients, 9% developed OCF. On univariate and multivariate analysis, patients undergoing bilateral neck dissection or with surgical site infection (SSI) (P < .001) were at maximum risk. On univariate analysis, the incidence was higher following resections for tongue-floor of mouth sub site (P = .002), irrespective of the type of flap used for reconstruction. Majority (57%) required surgical intervention for management.
CONCLUSION: The presence of SSI and performing bilateral neck dissection posed the maximum risk for developing OCF in patients undergoing surgery for oral cancer.
METHODS: We included all patients with oral cancer operated between January 2016 to December 2017 and at risk to develop an OCF. We assessed the incidence of OCF, its management, and factors predisposing to its development.
RESULTS: Of 587 eligible patients, 9% developed OCF. On univariate and multivariate analysis, patients undergoing bilateral neck dissection or with surgical site infection (SSI) (P < .001) were at maximum risk. On univariate analysis, the incidence was higher following resections for tongue-floor of mouth sub site (P = .002), irrespective of the type of flap used for reconstruction. Majority (57%) required surgical intervention for management.
CONCLUSION: The presence of SSI and performing bilateral neck dissection posed the maximum risk for developing OCF in patients undergoing surgery for oral cancer.
Предметные рубрики MeSH
AdolescentAdultAgedAged, 80 and overCancer Care FacilitiesCarcinoma, Squamous CellCutaneous FistulaFemaleHumansMaleMiddle AgedMouth NeoplasmsMultivariate AnalysisNeck DissectionOral FistulaPlastic Surgery ProceduresRetrospective StudiesRisk FactorsSurgical FlapsSurgical Wound InfectionTertiary Care CentersYoung Adult