Analysis of cost and outcomes in bony versus soft tissue midface free flap reconstruction

Authors

• Angela Alnemri, Thomas Jefferson University, Philadelphia, PA
• Ramez Philips, Thomas Jefferson University, Philadelphia, PA
• Sarah Sussman, Thomas Jefferson University, Philadelphia, PA
• Vivian Xu, Thomas Jefferson University, Philadelphia, PA
• Alyssa Givens, Thomas Jefferson University, Philadelphia, PA
• Anjali Patel, Thomas Jefferson University, Philadelphia, PA
• Brian Swendseid, The Ohio State University, Columbus, OH
• Aarti Agarwal, Thomas Jefferson University, Philadelphia, PA
• Scott Keith, Thomas Jefferson University, Philadelphia, PA
• Ayako Shimada, Thomas Jefferson University, Philadelphia, PA
• Yamil Selman, Thomas Jefferson University, Philadelphia, PA
• David M. Cognetti, Thomas Jefferson University, Philadelphia, PA
• Ryan Heffelfinger, Thomas Jefferson University, Philadelphia, PA
• Richard Goldman, Thomas Jefferson University, Philadelphia, PA
• Adam J. Luginbuhl, Thomas Jefferson University, Philadelphia, PA
• Mark K. Wax, Oregon Health & Science University, Portland, OR
• Larissa Sweeny, LSU Health Sciences Center - New Orleans
• Joseph M. Curry, Thomas Jefferson University, Philadelphia, PA

Document Type

Article

Publication Date

6-6-2022

Publication Title

Head and Neck

Abstract

Background: Outcomes and cost of soft tissue versus bony midface free flap reconstruction (MR) with and without virtual surgical planning (VSP) were evaluated. Methods: Retrospective review of MR including ischemic time (IT), operative duration (OD), length of stay (LOS), and total cost (TC). Eighty-one soft tissue and 76 bony MR (VSP = 23) were reviewed. Results: Bony MR was used for higher complexity defects (p = 0.003) and was associated with higher IT (p < 0.001), OD (p < 0.001), LOS (p = 0.032), and TC (p < 0.001). VSP was associated with a mean 111.2 ± 37.9 minute reduction in OD (p = 0.004) compared to non-VSP bony flaps. VSP was associated with higher itemized cost, but no increase in TC (p = 0.327). Conclusions: Bony MR was used for higher complexity MR and was associated with increased TC, LOS, OD, and IT. VSP shortened OD with no significant increase in TC.

First Page

1896

Last Page

1908

PubMed ID

35665975

Volume

44

Issue

8

Rights

© 1999-2026 John Wiley & Sons, Inc or related companies

Recommended Citation

Alnemri, Angela; Philips, Ramez; Sussman, Sarah; Xu, Vivian; Givens, Alyssa; Patel, Anjali; Swendseid, Brian; Agarwal, Aarti; Keith, Scott; Shimada, Ayako; Selman, Yamil; Cognetti, David M.; Heffelfinger, Ryan; Goldman, Richard; Luginbuhl, Adam J.; Wax, Mark K.; Sweeny, Larissa; and Curry, Joseph M., "Analysis of cost and outcomes in bony versus soft tissue midface free flap reconstruction" (2022). School of Medicine Faculty Publications. 4968.
https://digitalscholar.lsuhsc.edu/som_facpubs/4968
10.1002/hed.27112