Obesity and perioperative complications in head and neck free tissue reconstruction

Gabriel de la Garza, Oleg Militsakh, Aru Panwar, Tabitha L. Galloway, Jeffrey B. Jorgensen, Levi G. Ledgerwood, Katelyn Kaiser, Collin Kitzerow, Yelizaveta Shnayder, Colin A. Neumann, Samir S. Khariwala, W. Chad Spanos, Nitin A. Pagedar

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background Free tissue transfer is a mainstay in reconstruction of complex head and neck defects. The purpose of this study was to determine if perioperative complications were more common in patients with body mass index (BMI) >30 kg/m 2 undergoing free flap reconstruction. Methods A multi-institutional retrospective cohort was created. Medical complications, surgical complications, and procedural variables were recorded. Logistic regression was used to investigate univariate and multivariate associations between outcomes and predictors. Results Of 582 cases, 128 patients (22%) had BMI >30. Surgical complications occurred in 153 cases (26.3%), with an adjusted odds ratio (OR) for association of surgical complications with BMI >30 of 0.92 (p =.71). Medical complications occurred in 178 cases (30.6%), with an adjusted OR of 0.78 (p =.26). Age and advanced comorbidity status (Adult Comorbidity Evaluation-27 [ACE-27] 2 or 3) were associated with medical complications (p <.0001). Conclusion BMI >30 does not predict medical or surgical complications in patients undergoing head and neck free flap surgery.

Original languageEnglish (US)
Pages (from-to)E1188-E1191
JournalHead and Neck
Volume38
DOIs
StatePublished - Apr 1 2016

Fingerprint

Body Mass Index
Neck
Obesity
Free Tissue Flaps
Head
Comorbidity
Odds Ratio
Logistic Models

Keywords

  • complications
  • free flap
  • obesity
  • outcomes
  • reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

de la Garza, G., Militsakh, O., Panwar, A., Galloway, T. L., Jorgensen, J. B., Ledgerwood, L. G., ... Pagedar, N. A. (2016). Obesity and perioperative complications in head and neck free tissue reconstruction. Head and Neck, 38, E1188-E1191. https://doi.org/10.1002/hed.24189

Obesity and perioperative complications in head and neck free tissue reconstruction. / de la Garza, Gabriel; Militsakh, Oleg; Panwar, Aru; Galloway, Tabitha L.; Jorgensen, Jeffrey B.; Ledgerwood, Levi G.; Kaiser, Katelyn; Kitzerow, Collin; Shnayder, Yelizaveta; Neumann, Colin A.; Khariwala, Samir S.; Chad Spanos, W.; Pagedar, Nitin A.

In: Head and Neck, Vol. 38, 01.04.2016, p. E1188-E1191.

Research output: Contribution to journalArticle

de la Garza, G, Militsakh, O, Panwar, A, Galloway, TL, Jorgensen, JB, Ledgerwood, LG, Kaiser, K, Kitzerow, C, Shnayder, Y, Neumann, CA, Khariwala, SS, Chad Spanos, W & Pagedar, NA 2016, 'Obesity and perioperative complications in head and neck free tissue reconstruction', Head and Neck, vol. 38, pp. E1188-E1191. https://doi.org/10.1002/hed.24189
de la Garza G, Militsakh O, Panwar A, Galloway TL, Jorgensen JB, Ledgerwood LG et al. Obesity and perioperative complications in head and neck free tissue reconstruction. Head and Neck. 2016 Apr 1;38:E1188-E1191. https://doi.org/10.1002/hed.24189
de la Garza, Gabriel ; Militsakh, Oleg ; Panwar, Aru ; Galloway, Tabitha L. ; Jorgensen, Jeffrey B. ; Ledgerwood, Levi G. ; Kaiser, Katelyn ; Kitzerow, Collin ; Shnayder, Yelizaveta ; Neumann, Colin A. ; Khariwala, Samir S. ; Chad Spanos, W. ; Pagedar, Nitin A. / Obesity and perioperative complications in head and neck free tissue reconstruction. In: Head and Neck. 2016 ; Vol. 38. pp. E1188-E1191.
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abstract = "Background Free tissue transfer is a mainstay in reconstruction of complex head and neck defects. The purpose of this study was to determine if perioperative complications were more common in patients with body mass index (BMI) >30 kg/m 2 undergoing free flap reconstruction. Methods A multi-institutional retrospective cohort was created. Medical complications, surgical complications, and procedural variables were recorded. Logistic regression was used to investigate univariate and multivariate associations between outcomes and predictors. Results Of 582 cases, 128 patients (22{\%}) had BMI >30. Surgical complications occurred in 153 cases (26.3{\%}), with an adjusted odds ratio (OR) for association of surgical complications with BMI >30 of 0.92 (p =.71). Medical complications occurred in 178 cases (30.6{\%}), with an adjusted OR of 0.78 (p =.26). Age and advanced comorbidity status (Adult Comorbidity Evaluation-27 [ACE-27] 2 or 3) were associated with medical complications (p <.0001). Conclusion BMI >30 does not predict medical or surgical complications in patients undergoing head and neck free flap surgery.",
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AU - Ledgerwood, Levi G.

AU - Kaiser, Katelyn

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AU - Shnayder, Yelizaveta

AU - Neumann, Colin A.

AU - Khariwala, Samir S.

AU - Chad Spanos, W.

AU - Pagedar, Nitin A.

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AB - Background Free tissue transfer is a mainstay in reconstruction of complex head and neck defects. The purpose of this study was to determine if perioperative complications were more common in patients with body mass index (BMI) >30 kg/m 2 undergoing free flap reconstruction. Methods A multi-institutional retrospective cohort was created. Medical complications, surgical complications, and procedural variables were recorded. Logistic regression was used to investigate univariate and multivariate associations between outcomes and predictors. Results Of 582 cases, 128 patients (22%) had BMI >30. Surgical complications occurred in 153 cases (26.3%), with an adjusted odds ratio (OR) for association of surgical complications with BMI >30 of 0.92 (p =.71). Medical complications occurred in 178 cases (30.6%), with an adjusted OR of 0.78 (p =.26). Age and advanced comorbidity status (Adult Comorbidity Evaluation-27 [ACE-27] 2 or 3) were associated with medical complications (p <.0001). Conclusion BMI >30 does not predict medical or surgical complications in patients undergoing head and neck free flap surgery.

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