Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Facial Plast Surg Aesthet Med. 2021 Dec;23(6):469-475. doi: 10.1089/fpsam.2020.0570. Epub 2021 Apr 13.
The predictors of postoperative complications after paramedian forehead flaps (PMFF) are unknown. To determine whether preoperative factors can predict post-PMFF complications. A retrospective review of 1438 adults from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database who underwent PMFF between 2010 and 2018. Surgical complications, medical complications, and all-cause mortality. Of the 1438 patients, 75 experienced postoperative complications (5.2%). Of these, 36 developed isolated surgical complications (2.5%), 29 developed isolated medical complications (2.0%), and 8 developed concurrent surgical and medical complications (0.5%). Of the three mortalities (0.2%), one patient developed concurrent surgical and medical complications. A dirty or infected wound classification was the strongest predictor of postoperative complications (odds ratio [OR] 13.5; confidence interval [95% CI] 3.4-49.5). In contrast, the likelihood of postoperative complications decreased significantly with outpatient procedures (OR 0.4; 95% CI 0.2-0.8). A dirty or infected wound classification is the strongest predictor of postoperative complications after PMFF.
额旁正中皮瓣（PMFF）术后并发症的预测因素尚不清楚。为了确定术前因素是否可以预测 PMFF 术后并发症。回顾性分析了 2010 年至 2018 年间在美国外科医师学会国家外科质量改进计划（ACS-NSQIP）数据库中接受 PMFF 的 1438 名成年人的资料。手术并发症、医疗并发症和全因死亡率。在 1438 例患者中，75 例发生术后并发症（5.2%）。其中 36 例发生单纯手术并发症（2.5%），29 例发生单纯医疗并发症（2.0%），8 例发生手术和医疗并发症并存（0.5%）。在 3 例死亡病例中（0.2%），1 例发生手术和医疗并发症并存。伤口污染或感染分类是术后并发症的最强预测因素（比值比 [OR] 13.5；95%置信区间 [95%CI] 3.4-49.5）。相比之下，门诊手术显著降低了术后并发症的可能性（OR 0.4；95%CI 0.2-0.8）。伤口污染或感染分类是 PMFF 术后并发症的最强预测因素。
