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头颈部重建:再入院的预测因素。

Head & neck reconstruction: Predictors of readmission.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.

Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.

出版信息

Oral Oncol. 2017 Nov;74:159-162. doi: 10.1016/j.oraloncology.2017.06.022. Epub 2017 Jun 28.

Abstract

Unplanned hospital readmission following head and neck cancer surgery is common and associated with significant negative consequences. Because of the vital role that microvascular free tissue transfer plays in the management of head and neck oncologic defects, its relationship to unplanned hospital readmission requires attention. In this review, the incidence of, risk factors for, and reasons for unplanned readmission in patients undergoing free flap reconstruction for head and neck cancer are analyzed. The role of free flap reconstruction as a separate risk factor for unplanned readmission in patients with head and neck cancer is described. Limitations of the existing literature, strategies to decrease unplanned readmissions, and direction for future research are addressed.

摘要

头颈部癌症手术后的非计划性住院再入院很常见,且与严重的负面后果相关。由于微血管游离组织移植在头颈部肿瘤缺损的管理中起着至关重要的作用,因此需要关注其与非计划性住院再入院的关系。在这篇综述中,分析了头颈部癌症患者接受游离皮瓣重建后头和颈癌症患者非计划性再入院的发生率、危险因素和原因。描述了游离皮瓣重建作为头颈部癌症患者非计划性再入院的一个独立危险因素的作用。讨论了现有文献的局限性、减少非计划性再入院的策略以及未来研究的方向。

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