微血管游离组织头颈部重建术后供区并发症的性别差异。
Sex differences in donor-site morbidity after microvascular free tissue head and neck reconstruction.
作者信息
Teitelbaum Jordan I, Choi David D, Moreno Kattia F, Tabangin Meredith E, Patil Yash J
机构信息
Departments of Otolaryngology Head and Neck Surgery, University of Cincinnati Medical Center College of Medicine, Cincinnati, USA.
Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
出版信息
J Laryngol Otol. 2025 Jan;139(1):72-77. doi: 10.1017/S0022215124001257. Epub 2024 Oct 21.
BACKGROUND
The purpose of this study is to investigate whether sex plays a role in donor-site dysfunction after head and neck reconstruction.
METHODS
In this retrospective case series, 76 patients were assessed for donor-site morbidity using the Short Form 36, Short Musculoskeletal Function Assessment, disabilities of the arm, shoulder, and hand, and lower-limb core scale. Differences by sex were compared using -tests. Multivariable linear regression analysis was conducted to adjust for potential confounders.
RESULTS
Females observed significantly greater disability for the SF-36 mental component summary score with a mean of 45.9 (standard deviation 10.5) compared to males, with a mean of 51.8 (standard deviation 10.2), = 0.02. Sex is significantly related to SF-36 mental component summary score after controlling for neuropsychiatric disease and tracheostomy status.
CONCLUSION
Females reported significantly worse mental component scores compared to males undergoing free flap reconstruction of the head and neck.
背景
本研究旨在调查性别在头颈部重建后供区功能障碍中是否起作用。
方法
在这个回顾性病例系列中，使用简短健康调查问卷36项简表、简短肌肉骨骼功能评估、手臂、肩部和手部功能障碍以及下肢核心量表对76例患者的供区发病率进行评估。使用t检验比较性别差异。进行多变量线性回归分析以调整潜在的混杂因素。
结果
女性的简短健康调查问卷36项简表心理成分综合评分的残疾程度明显更高，平均分为45.9（标准差10.5），而男性平均分为51.8（标准差10.2），P = 0.02。在控制神经精神疾病和气管切开状态后，性别与简短健康调查问卷36项简表心理成分综合评分显著相关。
结论
与接受头颈部游离皮瓣重建的男性相比，女性报告的心理成分评分明显更差。
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