Impact of skeletal muscle mass on postoperative complications in oral cancer surgery.
Maxillofac Plast Reconstr Surg
; 46(1): 12, 2024 Mar 28.
Article
in En
| MEDLINE
| ID: mdl-38538802
ABSTRACT
BACKGROUND:
Sarcopenia is characterized by a progressive and generalized loss of skeletal muscle mass and strength. The aim of this retrospective study was to investigate the impact of skeletal muscle mass on adverse events in free-flap reconstruction for defects after oral cancer resection.RESULTS:
Of 120 patients, recipient-site adverse events occurred in 56 patients (46.7%), and recipient-site surgical site infections occurred in 45 patients (37.5%). Skeletal muscle index was significantly associated with recipient-site adverse events in univariate analysis (P < 0.05). Lower body mass index and skeletal muscle index were significantly associated with recipient-site surgical site infection in univariate analysis (P < 0.05). In the multiple logistic regression model, a lower skeletal muscle index was a significant risk factor for recipient-site adverse events and surgical site infections (adverse events odds ratio; 3.17/P = 0.04; surgical site infection odds ratio; 3.76/P = 0.02).CONCLUSIONS:
The SMI at level Th12 was an independent factor for postoperative AEs, especially SSI, in OSCC patients with free-flap reconstruction.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Maxillofac Plast Reconstr Surg
Year:
2024
Document type:
Article
Affiliation country:
Japan
Country of publication:
United kingdom