Professional oral health care at general dental clinic reduces postoperative complications of head and neck free-flap reconstruction surgery

Masatoshi Usubuchi, Kazuto Matsuura, Takahiro Goto, Yukinori Asada, Takayuki Imai, Takenori Ogawa, Kengo Kato, Shigeru Saijo

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Background: Extensive resection and free-flap reconstruction surgery has become the standard treatment for locally advanced head and neck cancer. Surgical site infection (SSI) is one of the serious complications of this treatment. This study aimed to investigate the risk factor for onset of SSI, particularly focusing on whether preoperative professional oral health care in cooperation with general dental clinics is effective in reducing the occurrence of SSI. Methods: From March 2003 to August 2011, 183 patients who underwent head and neck free-flap reconstructive surgery by the same plastic surgeon at Miyagi Cancer Center for Head and Neck Surgery were investigated retrospectively. Results: Of the 183 patients, 135 and 48 were men and women, respectively, with a mean age of 62 (range, 29–82) years. The tumor was located in the oral cavity (n = 76), hypopharynx (n = 55), oropharynx (n = 28), and others (n = 24). Clinical stages were stage I/II in 18, stage III/IV in 164 patients, and benign tumor in one patient, based on UICC classification. SSI occurred in 66 patients (36.1%). Based on multivariate analysis, professional oral health care [P = 0.0076, odds ratio (OR) = 0.39] and radiation therapy history (P = 0.0214, OR = 2.820) were shown as factors that are significantly related to SSI. Conclusion: This study identified history of radiation therapy as a significant risk factor for SSI from univariate and multivariate analysis and revealed that patients receiving preoperative professional oral health care at general dental clinics reduce the risk of SSI. Preoperative professional oral health care in cooperation with general dental clinics has been shown to reduce SSI of head and neck free-flap reconstructive surgery.

Original languageEnglish
Pages (from-to)205-210
Number of pages6
JournalJournal of Cancer
Volume10
Issue number1
DOIs
Publication statusPublished - 2019
Externally publishedYes

Keywords

  • Free-flap reconstructive surgery
  • General dental clinic
  • Head and neck tumor
  • Medical collaboration
  • Professional oral health care
  • Surgical site infection

ASJC Scopus subject areas

  • Oncology

Fingerprint Dive into the research topics of 'Professional oral health care at general dental clinic reduces postoperative complications of head and neck free-flap reconstruction surgery'. Together they form a unique fingerprint.

Cite this