CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2013; 34(04): 247-251
DOI: 10.4103/0971-5851.125236
ORIGINAL ARTICLE

Factors affecting wound complications in head and neck surgery: A prospective study

Devendra A. Chaukar
Department of Head & Neck Oncology, Tata Memorial Centre, Parel, Mumbai, Maharashtra, India
,
Anuja D. Deshmukh
Department of Head & Neck Oncology, Tata Memorial Centre, Parel, Mumbai, Maharashtra, India
,
Tanveer Majeed
Joy Hospital, Mumbai, Maharashtra, India
,
Pankaj Chaturvedi
Department of Head & Neck Oncology, Tata Memorial Centre, Parel, Mumbai, Maharashtra, India
,
Prathamesh Pai
Department of Head & Neck Oncology, Tata Memorial Centre, Parel, Mumbai, Maharashtra, India
,
Anil K. D′cruz
Department of Head & Neck Oncology, Tata Memorial Centre, Parel, Mumbai, Maharashtra, India
› Author Affiliations

Abstract

Context: Head and neck surgeries are complex. Wound complications are associated with considerable morbidity and can result in delay in the adjuvant treatment. Identification of factors will help in formulating preventive guidelines. Aims: The aim of this study is to identify perioperative factors responsible for wound complications. Settings and Design: Prospective study of 186 head and neck patients. Subjects and Methods: Pre-operative, intraoperative and post-operative factors were recorded. Each patient was evaluated for minor and major wound complications twice daily during the hospital stay. Statistical Analysis: Chi-square test was used for univariate and log regression test was used for multivariate analysis. Results: The overall wound complication rate was 29% with 7% major and 22% minor complications. On univariate analysis, laryngeal and hypopharyngeal location, advanced T stage, poor oral hygiene, clean-contaminated surgery, low Karnofsky performance status (KPS), flap reconstruction, blood loss more than 1000 ml, perioperative blood transfusion, duration of surgery greater than 4.3 h and post-operative hemoglobin lesser than 11 g%, post-operative tracheostomy and resection of mandible were statistical significant factors. On multivariate analysis, post-operative tracheostomy, low KPS, post-operative serum albumin less than 3.7 g/dl and duration of surgery greater than 4.3 h were significant factors. Conclusion : Apart from unavoidable factors, it is essential to take care of certain factors viz nutrition, haemoglobin, oral hygiene, asepsis and repeating antibiotics in prolonged surgery.



Publication History

Article published online:
19 July 2021

© 2013. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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