Factors influencing the development of wound infection following free-flap reconstruction for intra-oral cancer
Date
2004
Authors
Cloke, D.
Green, J.
Khan, A.
Hodgkinson, P.
McLean, N.
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Journal article
Citation
Journal of Plastic, Reconstructive and Aesthetic Surgery, 2004; 57(7):556-560
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Abstract
Wound infection following tissue transfer in head and neck oncology is common. Factors known to be associated with infective complications include blood transfusion, pre-operative radiotherapy, duration of surgery, duration of pre-operative stay and a history of smoking. The present study specifically examined 100 consecutive patients on a standard antibiotic protocol undergoing free flap reconstruction following resection of cancers of the oral cavity or oropharynx. Despite prophylactic antibiotics, 21 patients developed a head and neck wound infection. No statistically significant association was found between infective wound complications and a history of smoking, pre-operative radiotherapy or chemotherapy, length of pre-operative hospital stay, duration of surgery, or number of units of blood transfused. We conclude that, in this group of patients, wound infection is a common and difficult problem, but with no statistically significant association with any of the variables studied.