Larissa Sweeny MD, Anne C. Kane MD, Carissa M. Thomas MD, PHD, Neal Futran MD, Joseph M. Curry MD, Andrés M. Bur MD, G Nina Lu MD, Aishwarya Shukla MD, Hunter Skoog MD, Jaime A. Pena Garcia MD, Angela E. Alnemri BS, Rahul Alapati MD, Michael DiLeo MD, Andrew Fuson MD, Kenneth Tan BS, Farshid Taghizadeh BS, Gina D. Jefferson MD, Daniel Petrisor MD, DMD, Mark K. Wax MD
{"title":"头颈部创伤后的游离皮瓣重建。","authors":"Larissa Sweeny MD, Anne C. Kane MD, Carissa M. Thomas MD, PHD, Neal Futran MD, Joseph M. Curry MD, Andrés M. Bur MD, G Nina Lu MD, Aishwarya Shukla MD, Hunter Skoog MD, Jaime A. Pena Garcia MD, Angela E. Alnemri BS, Rahul Alapati MD, Michael DiLeo MD, Andrew Fuson MD, Kenneth Tan BS, Farshid Taghizadeh BS, Gina D. Jefferson MD, Daniel Petrisor MD, DMD, Mark K. Wax MD","doi":"10.1002/hed.27867","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (<i>n</i> = 103).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Majority were gunshot wounds (GSW; 85%, <i>n</i> = 88) and motor vehicle accidents (11%, <i>n</i> = 11). Majority underwent osseous reconstruction (82%, <i>n</i> = 84). FF failures (9%, <i>n</i> = 9/103) occurred in GSW patients (100%, <i>n</i> = 9/9) and when multiple subsites were injured (89%, <i>n</i> = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (<i>p</i> = 0.01) and 30-day readmissions (4% vs. 17%) (<i>p</i> = 0.02).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.</p>\n </section>\n </div>","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":"46 12","pages":"2981-2992"},"PeriodicalIF":2.2000,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hed.27867","citationCount":"0","resultStr":"{\"title\":\"Free flap reconstruction following head and neck trauma\",\"authors\":\"Larissa Sweeny MD, Anne C. Kane MD, Carissa M. Thomas MD, PHD, Neal Futran MD, Joseph M. Curry MD, Andrés M. Bur MD, G Nina Lu MD, Aishwarya Shukla MD, Hunter Skoog MD, Jaime A. Pena Garcia MD, Angela E. Alnemri BS, Rahul Alapati MD, Michael DiLeo MD, Andrew Fuson MD, Kenneth Tan BS, Farshid Taghizadeh BS, Gina D. Jefferson MD, Daniel Petrisor MD, DMD, Mark K. Wax MD\",\"doi\":\"10.1002/hed.27867\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (<i>n</i> = 103).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Majority were gunshot wounds (GSW; 85%, <i>n</i> = 88) and motor vehicle accidents (11%, <i>n</i> = 11). Majority underwent osseous reconstruction (82%, <i>n</i> = 84). FF failures (9%, <i>n</i> = 9/103) occurred in GSW patients (100%, <i>n</i> = 9/9) and when multiple subsites were injured (89%, <i>n</i> = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (<i>p</i> = 0.01) and 30-day readmissions (4% vs. 17%) (<i>p</i> = 0.02).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55072,\"journal\":{\"name\":\"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck\",\"volume\":\"46 12\",\"pages\":\"2981-2992\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-07-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hed.27867\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hed.27867\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hed.27867","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Free flap reconstruction following head and neck trauma
Background
Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon.
Methods
Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103).
Results
Majority were gunshot wounds (GSW; 85%, n = 88) and motor vehicle accidents (11%, n = 11). Majority underwent osseous reconstruction (82%, n = 84). FF failures (9%, n = 9/103) occurred in GSW patients (100%, n = 9/9) and when multiple subsites were injured (89%, n = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (p = 0.01) and 30-day readmissions (4% vs. 17%) (p = 0.02).
Conclusions
All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.
期刊介绍：
Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.
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