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Impact of skeletal muscle mass on postoperative complications in oral cancer surgery.
Fujii, Arisa; Suzuki, Taiki; Sakai, Katsuhiko; Matsuura, Nobuyuki; Sugahara, Keisuke; Katakura, Akira; Nomura, Takeshi.
Affiliation
  • Fujii A; Department of Oral Pathobiological Science and Surgery, Tokyo Dental College, Tokyo, 101-0061, Japan.
  • Suzuki T; Department of Oral Oncology, Oral and Maxillofacial Surgery, Tokyo Dental College, Chiba, 272-8513, Japan.
  • Sakai K; Department of Oral Medicine and Hospital Dentistry, Tokyo Dental College, Chiba, 272-8513, Japan.
  • Matsuura N; Department of Oral Medicine and Hospital Dentistry, Tokyo Dental College, Chiba, 272-8513, Japan.
  • Sugahara K; Department of Oral Pathobiological Science and Surgery, Tokyo Dental College, Tokyo, 101-0061, Japan.
  • Katakura A; Department of Oral Pathobiological Science and Surgery, Tokyo Dental College, Tokyo, 101-0061, Japan. katakura@tdc.ac.jp.
  • Nomura T; Department of Oral Oncology, Oral and Maxillofacial Surgery, Tokyo Dental College, Chiba, 272-8513, Japan.
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.
Key words

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

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