Decreasing the perioperative complications associated with the superior pharyngeal flap operation

Plastic and Reconstructive Surgery
F O FraulinR M Zuker

Abstract

This outcome study was a continuation of a previously published review. It examined whether there had been a decrease in the number of acute perioperative complications surrounding superior pharyngeal flap operations since a patient's death in 1990. A total of 386 patients were divided into two groups: the early group (July of 1985 to December of 1990) n = 164, and the later group (January of 1991 to June of 1996) n = 222, which were statistically comparable. The patient complication rate decreased from 19.5 to 6.3 percent (chi square, p = 0.0001). Airway obstruction decreased from 11 to 3.2 percent (chi square, p = 0.0012). Bleeding complications decreased from 7.3 to 1.4 percent (chi square, p = 0.0027). The majority of airway complications (72 percent) and bleeding complications (80 percent) occurred in the first 24 hours. Predictive factors for complications included the surgeon involved, patients with associated medical conditions, having an associated procedure performed concurrently, and leaving the donor site open (multiple logistic regression). Hospital stay also decreased from 5.8 +/- 2.5 to 3.8 +/- 1.6 days (Student's t test p = 0.0001). The decrease in complication rate was due to the increased awareness of all staf...Continue Reading

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Citations

Oct 24, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·John W CanadyLucy Hynds Karnell
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