Impact of skeletal muscle mass on postoperative complications in oral cancer surgery.

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-28 DOI:10.1186/s40902-024-00417-w

Arisa Fujii, Taiki Suzuki, Katsuhiko Sakai, Nobuyuki Matsuura, Keisuke Sugahara, Akira Katakura, Takeshi Nomura

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Abstract

Background: Sarcopenia is characterized by a progressive and generalized loss of skeletal muscle mass and strength. The aim of this retrospective study was to investigate the impact of skeletal muscle mass on adverse events in free-flap reconstruction for defects after oral cancer resection.

Results: Of 120 patients, recipient-site adverse events occurred in 56 patients (46.7%), and recipient-site surgical site infections occurred in 45 patients (37.5%). Skeletal muscle index was significantly associated with recipient-site adverse events in univariate analysis (P < 0.05). Lower body mass index and skeletal muscle index were significantly associated with recipient-site surgical site infection in univariate analysis (P < 0.05). In the multiple logistic regression model, a lower skeletal muscle index was a significant risk factor for recipient-site adverse events and surgical site infections (adverse events odds ratio; 3.17/P = 0.04; surgical site infection odds ratio; 3.76/P = 0.02).

Conclusions: The SMI at level Th12 was an independent factor for postoperative AEs, especially SSI, in OSCC patients with free-flap reconstruction.

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骨骼肌质量对口腔癌手术术后并发症的影响。

背景：肌肉疏松症的特征是骨骼肌质量和力量的进行性和普遍性丧失。这项回顾性研究旨在探讨骨骼肌质量对口腔癌切除术后缺损游离瓣重建不良事件的影响：在 120 名患者中，56 名患者（46.7%）发生了受体部位不良事件，45 名患者（37.5%）发生了受体部位手术感染。在单变量分析中，骨骼肌指数与受体部位不良事件有显著相关性（P 结论：骨骼肌指数与受体部位不良事件有显著相关性：在采用游离皮瓣重建的 OSCC 患者中，Th12 水平的骨骼肌指数是导致术后 AE（尤其是 SSI）的独立因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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