Free flap reconstruction following head and neck trauma.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 38984564.
- Also identified by DOI 10.1002/hed.27867.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon. Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103). 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). 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.
Medical subject headings
- Craniocerebral Trauma
- Free Tissue Flaps
- Neck Injuries
- Plastic Surgery Procedures