Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients
This retrospective study investigates differences in peri-/postoperative complications/outcomes of head and neck microvascular free flap reconstructions between female (FFP) and male flap patients (MFP).Evaluated variables: biological sex, age, ASA status, tumor type, preoperative radiation/chemothe...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2022-07-01
|
Series: | Advances in Oral and Maxillofacial Surgery |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2667147622000577 |
_version_ | 1818014966091874304 |
---|---|
author | Nils H. Rohleder Sina Heimüller Klaus D. Wolff Marco R. Kesting |
author_facet | Nils H. Rohleder Sina Heimüller Klaus D. Wolff Marco R. Kesting |
author_sort | Nils H. Rohleder |
collection | DOAJ |
description | This retrospective study investigates differences in peri-/postoperative complications/outcomes of head and neck microvascular free flap reconstructions between female (FFP) and male flap patients (MFP).Evaluated variables: biological sex, age, ASA status, tumor type, preoperative radiation/chemotherapy, medical comorbidities; flap type, reconstruction (primary/secondary), operative time; length of stay on ICU, prolonged stay on ICU and its reasons, length of hospitalization, prolonged hospitalization and its reasons; flap success, revisions, overall complications, mortality.N = 215 patients (86 FFP; 129 MFP) were included. MFP exhibited higher nicotine abuse (P < .001), received more large-volume flaps (P < .001), and operative time was longer (P = .013). Sex had no influence on postoperative and outcome variables.Biological sex has no influence on the postoperative course following head and neck microsurgical free flap reconstructions. |
first_indexed | 2024-04-14T06:51:52Z |
format | Article |
id | doaj.art-e33696446d434af6bf3fbead268f58eb |
institution | Directory Open Access Journal |
issn | 2667-1476 |
language | English |
last_indexed | 2024-04-14T06:51:52Z |
publishDate | 2022-07-01 |
publisher | Elsevier |
record_format | Article |
series | Advances in Oral and Maxillofacial Surgery |
spelling | doaj.art-e33696446d434af6bf3fbead268f58eb2022-12-22T02:07:01ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762022-07-017100307Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patientsNils H. Rohleder0Sina Heimüller1Klaus D. Wolff2Marco R. Kesting3Technical University of Munich, School of Medicine, Department of Oral and Maxillofacial Surgery, Ismaninger Str. 22, 81675, Munich, Germany; Corresponding author.Technical University of Munich, School of Medicine, Department of Oral and Maxillofacial Surgery, Ismaninger Str. 22, 81675, Munich, GermanyTechnical University of Munich, School of Medicine, Department of Oral and Maxillofacial Surgery, Ismaninger Str. 22, 81675, Munich, GermanyUniversity of Erlangen-Nuremberg, Department of Oral and Maxillofacial Surgery, Glückstr. 11, 91054, Erlangen, GermanyThis retrospective study investigates differences in peri-/postoperative complications/outcomes of head and neck microvascular free flap reconstructions between female (FFP) and male flap patients (MFP).Evaluated variables: biological sex, age, ASA status, tumor type, preoperative radiation/chemotherapy, medical comorbidities; flap type, reconstruction (primary/secondary), operative time; length of stay on ICU, prolonged stay on ICU and its reasons, length of hospitalization, prolonged hospitalization and its reasons; flap success, revisions, overall complications, mortality.N = 215 patients (86 FFP; 129 MFP) were included. MFP exhibited higher nicotine abuse (P < .001), received more large-volume flaps (P < .001), and operative time was longer (P = .013). Sex had no influence on postoperative and outcome variables.Biological sex has no influence on the postoperative course following head and neck microsurgical free flap reconstructions.http://www.sciencedirect.com/science/article/pii/S2667147622000577MicrosurgeryFree flapBiological sexHead and neckOutcomeDifference |
spellingShingle | Nils H. Rohleder Sina Heimüller Klaus D. Wolff Marco R. Kesting Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients Advances in Oral and Maxillofacial Surgery Microsurgery Free flap Biological sex Head and neck Outcome Difference |
title | Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients |
title_full | Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients |
title_fullStr | Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients |
title_full_unstemmed | Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients |
title_short | Influence of biological sex on intra- and postoperative course of microvascular free flap reconstructive surgery in the head and neck region: A retrospective analysis involving 215 patients |
title_sort | influence of biological sex on intra and postoperative course of microvascular free flap reconstructive surgery in the head and neck region a retrospective analysis involving 215 patients |
topic | Microsurgery Free flap Biological sex Head and neck Outcome Difference |
url | http://www.sciencedirect.com/science/article/pii/S2667147622000577 |
work_keys_str_mv | AT nilshrohleder influenceofbiologicalsexonintraandpostoperativecourseofmicrovascularfreeflapreconstructivesurgeryintheheadandneckregionaretrospectiveanalysisinvolving215patients AT sinaheimuller influenceofbiologicalsexonintraandpostoperativecourseofmicrovascularfreeflapreconstructivesurgeryintheheadandneckregionaretrospectiveanalysisinvolving215patients AT klausdwolff influenceofbiologicalsexonintraandpostoperativecourseofmicrovascularfreeflapreconstructivesurgeryintheheadandneckregionaretrospectiveanalysisinvolving215patients AT marcorkesting influenceofbiologicalsexonintraandpostoperativecourseofmicrovascularfreeflapreconstructivesurgeryintheheadandneckregionaretrospectiveanalysisinvolving215patients |