TY - JOUR
T1 - Perioperative Deep Vein Thrombosis Risk Stratification
T2 - A Comparative Analysis of Free and Pedicled Flap Patients
AU - Sinha, Sumi
AU - Puram, Sidharth V.
AU - Sethi, Rosh K.V.
AU - Goyal, Neerav
AU - Emerick, Kevin S.
AU - Lin, Derrick
AU - Durand, Marlene L.
AU - Deschler, Daniel G.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - 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.
AB - 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.
KW - deep vein thrombosis
KW - free flap
KW - head and neck
KW - microvascular reconstruction
KW - pedicled flap
UR - http://www.scopus.com/inward/record.url?scp=85008506925&partnerID=8YFLogxK
U2 - 10.1177/0194599816667399
DO - 10.1177/0194599816667399
M3 - Article
C2 - 27600631
AN - SCOPUS:85008506925
SN - 0194-5998
VL - 156
SP - 118
EP - 121
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
IS - 1
ER -