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Published on: August 24, 2018
Early Complications in Mandibular Reconstruction: Analysis Using Comprehensive Complication Index
Takeaki Hidaka1, Shimpei Miyamoto2, Yutaka Fukunaga3
1Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Background:
Early postoperative complications after microvascular mandibular reconstruction impact outcomes in patients with advanced oral cancer. This study evaluates three reconstruction techniques: vascularized bone graft (VBG), mandibular reconstruction plate (MRP) with a non-osseous flap, and soft tissue flap (STF), using the Comprehensive Complication Index (CCI).
Methods:
In this retrospective study of 101 patients, early postoperative complications (≤ 30 days) were assessed using the CCI, calculated from Clavien-Dindo classification grades. Differences among the three techniques were analyzed using multivariable linear regression.
Results:
VBG was performed in younger, healthier patients. No significant differences in CCI were found among the three techniques. Multivariable analysis confirmed that non-surgical factors, such as diabetes, had greater influence on complication risks.
Conclusions:
Appropriate patient selection minimizes early complication risks. VBG in younger patients and technical refinements in MRP may yield complication burdens comparable to STF.
Trial Registration:
This study was registered in the UMIN Clinical Trials Registry as UMIN000056584 (http://www.umin.ac.jp/ctr).
