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| Name | Class |
|---|---|
| Kaohsiung Medical University Chung-Ho Memorial Hospital | OTHER |
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This is a cohort study collecting patients with head and neck cancer who underwent free flap surgery at a single medical center between January 2019 and January 2022.
Patient information are collected from the electronic medical records retrospectively:
Head and Neck cancer diagnosis: The International Classification of Diseases, Tenth Revision (ICD-10), which included C00-C14, C31, C32, C73, C75.0, C75.4 and C41.1.
The cancer stage, alcohol use, betel nut, and smoking, and baseline comorbidities.
Surgical characteristics including flap history, ablation time, reconstruction time, donor sites, recipient sites, neck dissection, flap size, anastomosis, artery types, vein types, intraoperative sealants used, and intravenous calcium channel blocker nicardipine to control hypertension after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients underwent free flap surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Free Flap surgery | Procedure | No intervention, this is an observational study |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with flap failure | Flap necrosis with a need for a new flap or other surgical procedures. | 30 days post-operation |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with hematoma | Surgical indication for reoperation. Reoperation is performed when patients experienced major complications refractory to bedside management. | 30 days post-operation |
| Number of participants with thrombosis |
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Inclusion Criteria:
Exclusion Criteria:
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Patient greater than or equal to 20 years old who had free flap surgery following cancer ablation for head and neck cancer.
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| Name | Affiliation | Role |
|---|---|---|
| Ying-Chi Lin, Ph.D. | Kaohsiung Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung City | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39236088 | Derived | Hsiung PH, Huang HY, Chen WY, Kuo YR, Lin YC. Cumulative risk factors for flap failure, thrombosis, and hematoma in free flap reconstruction for head and neck cancer: a retrospective nested case-control study. Int J Surg. 2024 Dec 1;110(12):7616-7623. doi: 10.1097/JS9.0000000000002069. |
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Surgical indication for reoperation. Reoperation is performed when patients experienced major complications refractory to bedside management.
| 30 days post-operation |