Sex differences in donor-site morbidity after microvascular free tissue head and neck reconstruction.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2025-01-01 Epub Date: 2024-10-21 DOI:10.1017/S0022215124001257

Jordan I Teitelbaum, David D Choi, Kattia F Moreno, Meredith E Tabangin, Yash J Patil

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Abstract

Background: The purpose of this study is to investigate whether sex plays a role in donor-site dysfunction after head and neck reconstruction.

Methods: In this retrospective case series, 76 patients were assessed for donor-site morbidity using the Short Form 36, Short Musculoskeletal Function Assessment, disabilities of the arm, shoulder, and hand, and lower-limb core scale. Differences by sex were compared using t-tests. Multivariable linear regression analysis was conducted to adjust for potential confounders.

Results: Females observed significantly greater disability for the SF-36 mental component summary score with a mean of 45.9 (standard deviation 10.5) compared to males, with a mean of 51.8 (standard deviation 10.2), p = 0.02. Sex is significantly related to SF-36 mental component summary score after controlling for neuropsychiatric disease and tracheostomy status.

Conclusion: Females reported significantly worse mental component scores compared to males undergoing free flap reconstruction of the head and neck.

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头颈部微血管游离组织重建术后捐献部位发病率的性别差异。

背景：本研究的目的是探讨性别是否在头颈部重建后供体部位功能障碍中起作用。方法：在这个回顾性病例系列中，76例患者使用Short Form 36、Short肌肉骨骼功能评估、手臂、肩部和手部残疾以及下肢核心量表评估供体部位发病率。性别差异采用t检验进行比较。进行多变量线性回归分析以调整潜在的混杂因素。结果：女性在SF-36精神成分综合得分上的残疾程度显著高于男性，平均为45.9（标准差10.5），平均为51.8（标准差10.2），p = 0.02。在控制神经精神疾病和气管切开术状态后，性别与SF-36精神成分总结评分显著相关。结论：与接受头颈部自由皮瓣重建的男性相比，女性报告的心理成分评分明显较差。

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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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.