ArticleIndian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology2013
Factors affecting wound complications in head and neck surgery: A prospective study.
Article in Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Antibiotic prophylaxis in clean-contaminated head and neck cases with microvascular free flap reconstruction: A systematic review and meta-analysis.Head & neck · 2018Pooled it
- Harmonic scalpel impact on blood loss and operating time in major head and neck surgery: a randomized clinical trial.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2016Trial
- A Prospective Observational Study to Assess the Incidence of Preoperative Distress Levels and its Impact on Postoperative Complications in Patients with Oral Squamous Cell Carcinoma.Journal of maxillofacial and oral surgery · 2025Article
- A Proposal for Orocutaneous Fistula Grading Following Oral Cancer Surgery.Indian journal of surgical oncology · 2025Article
- THE BURDEN OF POST-CAESAREAN SECTION WOUND COMPLICATIONS IN A TEACHING HOSPITAL IN SOUTHEAST NIGERIA.Annals of Ibadan postgraduate medicine · 2025Article
- Opioid-Free Anaesthesia Reduces Complications in Head and Neck Microvascular Free-Flap Reconstruction.Journal of clinical medicine · 2023Article
- Incidence and risk factors of delayed wound healing in patients who underwent unicompartmental knee arthroplasty.International wound journal · 2023Article
- Pattern of Post-Operative Infections Among Oral Cavity Cancer Patients in a Tertiary Care Cancer Centre: A Prospective Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Surgical wound classification in otolaryngology: A state-of-the-art review.World journal of otorhinolaryngology - head and neck surgery · 2022Review
- Perioperative predictors of early surgical revision and flap-related complications after microvascular free tissue transfer in head and neck reconstructions: a retrospective observational series.Clinical oral investigations · 2021Observational
- Article
- Incorporating a continuous suction system as a preventive measure against fistula-related complications in head and neck reconstructive surgery.Archives of plastic surgery · 2018Article
- Article
- Characteristics and intraoperative treatments associated with head and neck free tissue transfer complications and failures.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2015Article
- Outcomes for Patients With Head and Neck Sarcoma Treated Curatively With Radiation Therapy and Surgery.Practical radiation oncologyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextHead and neck surgeries are complex. Wound complications are associated with considerable morbidity and can result in delay in the adjuvant treatment. Identification of factors will help in formulating preventive guidelines.
aimsThe aim of this study is to identify perioperative factors responsible for wound complications. SETTINGS AND
designProspective study of 186 head and neck patients. SUBJECTS AND
methodsPre-operative, intraoperative and post-operative factors were recorded. Each patient was evaluated for minor and major wound complications twice daily during the hospital stay. STATISTICAL ANALYSIS: Chi-square test was used for univariate and log regression test was used for multivariate analysis.
resultsThe overall wound complication rate was 29% with 7% major and 22% minor complications. On univariate analysis, laryngeal and hypopharyngeal location, advanced T stage, poor oral hygiene, clean-contaminated surgery, low Karnofsky performance status (KPS), flap reconstruction, blood loss more than 1000 ml, perioperative blood transfusion, duration of surgery greater than 4.3 h and post-operative hemoglobin lesser than 11 g%, post-operative tracheostomy and resection of mandible were statistical significant factors. On multivariate analysis, post-operative tracheostomy, low KPS, post-operative serum albumin less than 3.7 g/dl and duration of surgery greater than 4.3 h were significant factors.
conclusionApart from unavoidable factors, it is essential to take care of certain factors viz nutrition, haemoglobin, oral hygiene, asepsis and repeating antibiotics in prolonged surgery.
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