The team concept in mandibular reconstruction after ablative oncologic surgery

Daniel D. Lydiatt, Ronald Ray Hollins, Andrew Friedman, Carol A. Lydiatt

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: This study evaluated the efficiency and cost-effectiveness of using a reconstructive team for mandibular reconstruction. Methods: An outcome-based retrospective review of 64 patients who had undergone microvascular fibular reconstruction of the mandible was performed. Operating room time, use of blood products, intraoperative fluid replacement, and hospital and intensive care unit stay were evaluated. Patients were divided into 2 groups on a chronologic basis. Group 1 was the first 34 consecutive patients and group 2 was the next 30 consecutive patients. Results: Group 2 had a significantly shorter operating room time (P < .0001), hospital stay (P = .012), and used significantly less blood (P = .002) and colloid (P = .044) than group 1, resulting in significant cost savings, ($5,061.47/patient). Analysis showed no differences between groups demographically or for wound complications. Conclusions: Experience and the development of a team concept significantly decreased the cost for mandibular reconstruction with free fibula flaps without increasing wound complications. (C) 2000 American Association of Oral and MaXillofacial Surgeons.

Original languageEnglish (US)
Pages (from-to)607-610
Number of pages4
JournalJournal of Oral and Maxillofacial Surgery
Volume58
Issue number6
StatePublished - Jan 1 2000

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Mandibular Reconstruction
Operating Rooms
Fibula
Cost Savings
Free Tissue Flaps
Wounds and Injuries
Colloids
Mandible
Cost-Benefit Analysis
Intensive Care Units
Length of Stay
Costs and Cost Analysis

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

The team concept in mandibular reconstruction after ablative oncologic surgery. / Lydiatt, Daniel D.; Hollins, Ronald Ray; Friedman, Andrew; Lydiatt, Carol A.

In: Journal of Oral and Maxillofacial Surgery, Vol. 58, No. 6, 01.01.2000, p. 607-610.

Research output: Contribution to journalArticle

Lydiatt, Daniel D. ; Hollins, Ronald Ray ; Friedman, Andrew ; Lydiatt, Carol A. / The team concept in mandibular reconstruction after ablative oncologic surgery. In: Journal of Oral and Maxillofacial Surgery. 2000 ; Vol. 58, No. 6. pp. 607-610.
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