Predictive factors for postoperative wound complications in advanced head and neck cancer
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- Honda Keigo
- Department of Head and Neck Surgery, Kyoto Medical Center
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- Asato Ryo
- Department of Head and Neck Surgery, Kyoto Medical Center
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- Tsuji Jun
- Department of Otolaryngology, Kyoto Medical Center
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- Kanda Tomoko
- Department of Head and Neck Surgery, Kyoto Medical Center
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- Watanabe Yoshiki
- Department of Otolaryngology, Kyoto Medical Center
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- Mori Yusuke
- Department of Head and Neck Surgery, Kyoto Medical Center
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- Tsujimura Takashi
- Department of Otolaryngology, Kyoto Medical Center
Bibliographic Information
- Other Title
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- 頭頸部進行癌術後創部合併症の予測因子
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Abstract
Objective: The aim of our study was to identify predictive factors for postoperative wound complications of advanced head and neck cancer. The Chi-square test and logistic regression method were used for the statistical analysis.<br>Material and Methods: A retrospective chart review was performed for patients with advanced head and neck cancer who had been surgically treated at Kyoto Medical Center between January 2008 and June 2011.<br>Results: A total of 106 patients (mean age 66.4, male: female=84: 22) were enrolled in this study. Forty-six (43.4%) patients had postoperative wound complications. The selected candidate predictive factors were: sex, age, ASA score, T4 stage, induction chemotherapy, bilateral neck dissection, free flap reconstruction, contaminated cervical field, mandibular resection, and blood loss (>600g). On univariate analysis, the factors associated with wound complications included free flap usage and contaminated cervical field. Only free flap reconstruction remained independently significant on multivariate analysis (p=0.030, Odds ratio 3.36).<br>Conclusion: Free flap reconstruction is an independent predictive factor for postoperative wound complications in patients with advanced head and neck cancer.
Journal
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- Toukeibu Gan
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Toukeibu Gan 38 (1), 101-105, 2012
Japan Society for Head and Neck Cancer
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Details 詳細情報について
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- CRID
- 1390001205223815040
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- NII Article ID
- 130004510133
- 10030815947
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- NII Book ID
- AA11985555
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- ISSN
- 18818382
- 13495747
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed