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

doi:10.1002/hed.24189

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 journal › Article › peer-review

40 Scopus citations

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/m² 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 language	English (US)
Pages (from-to)	E1188-E1191
Journal	Head and Neck
Volume	38
DOIs	https://doi.org/10.1002/hed.24189
State	Published - Apr 1 2016

Keywords

complications
free flap
obesity
outcomes
reconstruction

ASJC Scopus subject areas

Otorhinolaryngology

Access to Document

10.1002/hed.24189

Cite this

@article{d35634df8fb84f828ddddb15eab276a0,

title = "Obesity and perioperative complications in head and neck free tissue reconstruction",

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/m2 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.",

keywords = "complications, free flap, obesity, outcomes, reconstruction",

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

note = "Publisher Copyright: {\textcopyright} 2015 Wiley Periodicals, Inc..",

year = "2016",

month = apr,

day = "1",

doi = "10.1002/hed.24189",

language = "English (US)",

volume = "38",

pages = "E1188--E1191",

journal = "Head and Neck",

issn = "1043-3074",

publisher = "John Wiley & Sons Inc.",

}

TY - JOUR

T1 - Obesity and perioperative complications in head and neck free tissue reconstruction

AU - de la Garza, Gabriel

AU - Militsakh, Oleg

AU - Panwar, Aru

AU - Galloway, Tabitha L.

AU - Jorgensen, Jeffrey B.

AU - Ledgerwood, Levi G.

AU - Kaiser, Katelyn

AU - Kitzerow, Collin

AU - Shnayder, Yelizaveta

AU - Neumann, Colin A.

AU - Khariwala, Samir S.

AU - Chad Spanos, W.

AU - Pagedar, Nitin A.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - 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/m2 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.

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/m2 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.

KW - complications

KW - free flap

KW - obesity

KW - outcomes

KW - reconstruction

UR - http://www.scopus.com/inward/record.url?scp=84939432900&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939432900&partnerID=8YFLogxK

U2 - 10.1002/hed.24189

DO - 10.1002/hed.24189

M3 - Article

C2 - 26268587

AN - SCOPUS:84939432900

SN - 1043-3074

VL - 38

SP - E1188-E1191

JO - Head and Neck

JF - Head and Neck

ER -

Obesity and perioperative complications in head and neck free tissue reconstruction

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this