作者
Kacie R Oglesby, Gina D Jefferson, Carissa M Thomas, Caitlyn Tomblin, Angela Alnemri, Joseph M Curry, Caroline Bonaventure, Larissa Sweeny, Holden W Richards, Mark Wax, Anne C Kane
发表日期
2024/2
期刊
The Laryngoscope
卷号
134
期号
2
页码范围
688-694
出版商
John Wiley & Sons, Inc.
简介
Objective
To assess if there is increased risk of free flap failure in renal failure patients undergoing head and neck reconstruction. We seek to primarily assess free flap outcomes based on stages of chronic kidney disease (CKD) and secondarily determine increased risk for postoperative complications.
Methods
Retrospective chart review was performed at five tertiary care centers. Patients were identified that had undergone microvascular free flap reconstruction of the head and neck with diagnosis of renal failure, classified as Stage 3 CKD or higher. Demographic data was collected. Outcomes in the postoperative period were examined.
Results
Seventy‐three patients met inclusion criteria. The average patient age was 69 years with a male predominance (n = 48). The majority of patients had CKD Stage 3 (n = 52). Overall flap failure rate was 12.33% (n = 9, CKD stage 3 = 7.69%, CKD stage 4 = 30 …
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