Perioperative Deep Vein Thrombosis Risk Stratification: A Comparative Analysis of Free and Pedicled Flap Patients

Sumi Sinha, Sidharth V. Puram, Rosh K.V. Sethi, Neerav Goyal, Kevin S. Emerick, Derrick Lin, Marlene L. Durand, Daniel G. Deschler

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Patients with head and neck cancer who undergo reconstructive surgery are at risk for deep venous thrombosis (DVT), but the risk profile for patients undergoing major flap reconstruction is highly variable. Herein, we report our findings from a retrospective analysis of head and neck cancer patients (n = 517) who underwent free (n = 384) or pedicled (n = 133) flap reconstructive operations at a major tertiary care center from 2011 to 2014. DVTs developed perioperatively in 9 (1.7%) patients. Compared with pedicled flap patients, free flap patients had a longer mean operative time (421.4 ± 4.4 vs 332.7 ± 10.7 min, P <.0001), but the DVT incidence did not differ significantly between free and pedicled flap patients (1.6% vs 2.2%, respectively, P =.28). These data suggest that perioperative DVT risk in head and neck oncology patients may be largely similar regardless of the reconstructive strategy pursued.

Original languageEnglish
Pages (from-to)118-121
Number of pages4
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume156
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Keywords

  • deep vein thrombosis
  • free flap
  • head and neck
  • microvascular reconstruction
  • pedicled flap

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