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Related Experiment Video

Updated: Jun 16, 2025

Porcine As a Training Module for Head and Neck Microvascular Reconstruction
07:43

Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Published on: September 29, 2018

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Positive Trends in Racial Disparities for Head and Neck Microvascular Reconstructive Surgery.

Philip R Brauer1, August A Culbert1,2, Emily Zhang1

  • 1From Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio, U.S.A.

The Laryngoscope
|August 20, 2024
PubMed
Summary

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This summary is machine-generated.

Racial disparities in head and neck reconstructive surgery are increasing, with minority patient proportions rising. However, outcomes after microvascular reconstruction show no significant racial differences, though disparities persist.

Area of Science:

  • Reconstructive Surgery
  • Health Disparities
  • Otolaryngology

Background:

  • Racial disparities in healthcare access and outcomes are a significant concern.
  • Head and neck cancer patients often require complex reconstructive procedures.

Purpose of the Study:

  • To investigate national trends in racial disparities among patients undergoing head and neck reconstructive surgery.
  • To analyze outcomes of microvascular free tissue transfer stratified by race.

Main Methods:

  • Retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database (2008-2021).
  • Inclusion of patients undergoing microvascular free tissue transfer for head and neck reconstruction, excluding pediatric cases and those treated by non-otolaryngologists.
  • Analysis of outcomes using univariate and multivariable models.
Keywords:
free flaphead and neck surgeryotolaryngologyracial disparitiesreconstruction

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Main Results:

  • A total of 5831 cases were analyzed: 83.5% White, 9.6% Black or African American, and 6.9% Asian, Native American, or other groups (ANAOG).
  • The proportion of Black or African American and ANAOG patients undergoing free tissue transfer increased significantly from 2008 to 2021, with a downtrend starting around 2017.
  • Multivariable analysis revealed no significant association between Black or African American race and readmission, return to the operating room, or post-operative complications. Similar findings were observed for the ANAOG population.

Conclusions:

  • The utilization of free tissue transfer for head and neck cancer reconstruction has increased among minority populations in the U.S.
  • Outcomes following head and neck microvascular reconstruction appear similar across racial groups.
  • Despite similar outcomes, persistent racial disparities necessitate further investigation and targeted interventions to reduce them.