Sheng-Chiao Lin1, Ting-Shou Chang1,2, Kuo-Chung Yang3,4,5, Yaoh-Shiang Lin1,6, Yu-Hsuan Lin7. 1. Department of Otorhinolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kao-hsiung, Taiwan. 2. Institute of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan. 3. Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Kao-hsiung, Taiwan. 4. Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan. 5. Department of Surgery, School of Medicine, National Defense Medical Center, Taipei, Taiwan. 6. Department of Otolaryngology, Head and Neck Surgery, National Defense Medical Center, Taipei, Taiwan. 7. Department of Otolaryngology, Head and Neck Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, 704, Tainan, Taiwan. mdlinyh@gmail.com.
Abstract
PURPOSE: Surgical site infections (SSIs) are associated with considerable medical expenditure. While head and neck free flap reconstruction has gradually become routine management following an ablative oncologic resection, reports on factors contributing to the SSIs are lacking. METHODS: We retrospectively analyzed 173 new patients with oral cancer without any antecedent treatment at a tertiary medical center from 2010 to 2015. We determined incidence rates of SSIs within 30 days postoperatively and identified independent risk factors using multivariate logistic regression analysis. RESULTS: Of 173 patients, 67 (38.7%) had SSIs. Multivariate analysis demonstrated operative time [odds ratio (OR) = 1.199, 95% confidence interval (CI) = 1.036-1.389], mandibulectomy (OR = 2.759; 95% CI = 1.245-6.111), and oro-neck communication (OR = 5.358; 95% CI = 2.150-13.355) as independent predictors for SSIs. CONCLUSIONS: For patients with oral cancer undergoing free tissue reconstruction, mandibulectomy, oro-neck communication, and prolonged operative time were associated with increased incidence of SSIs.
PURPOSE: Surgical site infections (SSIs) are associated with considerable medical expenditure. While head and neck free flap reconstruction has gradually become routine management following an ablative oncologic resection, reports on factors contributing to the SSIs are lacking. METHODS: We retrospectively analyzed 173 new patients with oral cancer without any antecedent treatment at a tertiary medical center from 2010 to 2015. We determined incidence rates of SSIs within 30 days postoperatively and identified independent risk factors using multivariate logistic regression analysis. RESULTS: Of 173 patients, 67 (38.7%) had SSIs. Multivariate analysis demonstrated operative time [odds ratio (OR) = 1.199, 95% confidence interval (CI) = 1.036-1.389], mandibulectomy (OR = 2.759; 95% CI = 1.245-6.111), and oro-neck communication (OR = 5.358; 95% CI = 2.150-13.355) as independent predictors for SSIs. CONCLUSIONS: For patients with oral cancer undergoing free tissue reconstruction, mandibulectomy, oro-neck communication, and prolonged operative time were associated with increased incidence of SSIs.
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