The incidence of venous thromboembolism after oncologic head and neck reconstruction

Annals of Plastic Surgery
Constance M ChenBabak J Mehrara

Abstract

This study evaluates the incidence of symptomatic deep venous thrombosis and pulmonary embolism after head and neck reconstruction at a single tertiary care cancer center. From 1997 to 2006, 6,759 surgical procedures were performed. There were 1,591 head and neck reconstructions (n = 1,591) and 5,168 non-head and neck reconstructions (n = 5,168). Free flaps, regional flaps, and other procedures were included. Although the incidence of venous thromboembolism (VTE) was less than 1% in both patient populations, there was a significantly greater incidence of VTE among patients undergoing head and neck reconstruction than non-head and neck reconstruction (P < 0.05). When compared with patients undergoing non-head and neck reconstruction, patients undergoing oncologic head and neck procedures were older, underwent longer anesthesia times, spent more days in the hospital, and were more likely to need free flaps. When possible, appropriate prophylaxis against VTE in cancer patients under going head and neck reconstruction is recommended.

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Citations

Sep 15, 2011·Plastic and Reconstructive Surgery·Christopher J PannucciEdwin G Wilkins
Mar 8, 2011·Journal of Clinical Anesthesia·Matthew C Desciak, Donald E Martin
Nov 26, 2010·Journal of the American College of Surgeons·Christopher J PannucciEdwin G Wilkins
Feb 22, 2012·International Journal of Laboratory Hematology·J WelshL A Madden
Feb 3, 2015·The British Journal of Oral & Maxillofacial Surgery·J N LoddersT Forouzanfar
Jan 21, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Andrew G ShumanVinita Bahl
Feb 15, 2018·Annals of Plastic Surgery·Wilson I OmesieteJack C Yu
Dec 1, 2017·Plastic and Reconstructive Surgery. Global Open·Lázaro Cárdenas-CamarenaJorge Enrique Bayter-Marin
Jan 5, 2011·Annals of Plastic Surgery·Julio A Clavijo-Alvarez, J Peter Rubin
Jun 13, 2018·Craniomaxillofacial Trauma & Reconstruction·Manoj AbrahamYadranko Ducic
Sep 4, 2019·Journal of Plastic Surgery and Hand Surgery·Kenneth L FanKaren K Evans
Oct 27, 2016·Plastic and Reconstructive Surgery·Joseph A RicciMatthew L Iorio
Apr 8, 2020·Aesthetic Surgery Journal·Victoria L AiméRobert W Bernard
May 15, 2020·Journal of Reconstructive Microsurgery·Kaushik P VenkateshMario G Solari
Jun 20, 2015·Plastic and Reconstructive Surgery. Global Open·Michael P SubichinDouglas S Wagner
Nov 1, 2016·Cancers of the Head & Neck·Faisal I Ahmad, Daniel R Clayburgh
Dec 9, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·D KitanoS Sakakibara
Jul 14, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Lirit LeviAviram Mizrachi

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