AI Article Synopsis
- - The study investigates how low skeletal muscle mass (SMM) impacts complications in patients who had free forearm flap reconstructions after oral cancer surgery.
- - Results indicate that low SMM significantly increases the risk of complications related to free flap surgery and is linked to more severe complications.
- - Therefore, assessing SMM could be crucial for predicting postoperative risks in patients undergoing such reconstructive procedures.
Article Abstract
Background: Low skeletal muscle mass (SMM) is a predictive factor for complications in patients undergoing major head and neck cancer surgery. This study aims to identify the predictive value of low SMM for postoperative complications in patients who underwent free forearm flap (FAFF) reconstructions after oral cancer resections.
Methods: A retrospective study was performed with all patients who underwent FFAF between 2003 and 2020 for an oral cavity reconstruction after cancer ablation. Free flap related, any postoperative complications and hospital stay were investigated.
Results: Low SMM was associated with an increased risk of free flap associated complications (OR 2.14; 95% CI 1.02-4.39, p = 0.029). Low SMM was associated with severe complications (Clavien-Dindo ≥ III) (OR 1.46; 95% CI 1.20-2.09, p = 0.02).
Conclusions: Low SMM is a strong predictive factor for free flap related surgical complications in patients undergoing FAFF reconstruction after resection of oral cancer.
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| http://dx.doi.org/10.1002/hed.28014 | DOI Listing |
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