Free flap reconstruction following head and neck trauma
Document Type
Article
Publication Date
7-10-2024
Publication Title
Head and Neck
Abstract
Background: Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon. Methods: Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103). Results: Majority were gunshot wounds (GSW; 85%, n = 88) and motor vehicle accidents (11%, n = 11). Majority underwent osseous reconstruction (82%, n = 84). FF failures (9%, n = 9/103) occurred in GSW patients (100%, n = 9/9) and when multiple subsites were injured (89%, n = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (p = 0.01) and 30-day readmissions (4% vs. 17%) (p = 0.02). Conclusions: All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.
PubMed ID
38984564
Recommended Citation
Sweeny, Larissa; Kane, Anne C.; Thomas, Carissa M.; Futran, Neal; Curry, Joseph M.; Bur, Andrés M.; Lu, G. Nina; Shukla, Aishwarya; Skoog, Hunter; Pena Garcia, Jaime A.; Alnemri, Angela E.; Alapati, Rahul; DiLeo, Michael; Fuson, Andrew; Tan, Kenneth; Taghizadeh, Farshid; Jefferson, Gina D.; Petrisor, Daniel; and Wax, Mark K., "Free flap reconstruction following head and neck trauma" (2024). School of Medicine Faculty Publications. 2855.
https://digitalscholar.lsuhsc.edu/som_facpubs/2855
10.1002/hed.27867