caa a22 4500 606187448 CHVBK 20210128100840.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3372-0 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3372-0 Risk factors of recipient site infection in head and neck cancer patients undergoing pectoralis major myocutaneous flap reconstruction [Elektronische Daten] [Chao-Hsien Wang, Yong-Kie Wong, Ching-Ping Wang, Chen-Chi Wang, Rong-San Jiang, Chih-Sheng Lai, Shih-An Liu] The aim of this study was to investigate the factors associated with infection at the recipient site of pectoralis major myocutaneous flap (PMMF) of head and neck cancer patients. We retrospectively reviewed head and neck cancer patients who underwent PMMF reconstruction and identified those with recipient site infection. Variables of patients with and without infection were compared and associated factors were investigated by logistic regression model. A total of 478 patients were included in the final analysis and 183 patients (38.3%) developed recipient site infection. Lower margin of skin island, concurrent tracheotomy, diabetes mellitus, mandibular plate reconstruction, prior radiation, and peri-operative blood transfusion were independent factors associated with recipient site infection of PMMF. Skin island of PMMF beyond the eighth intercostal space markedly increased the risk of recipient site infection after major head and neck cancer surgery. Recognition of relevant factors associated with infection may help surgeons to identify those at risk. Springer-Verlag Berlin Heidelberg, 2014 Head neck cancer nationallicence Pectoralis major myocutaneous flap nationallicence Surgical site infection nationallicence Radiation nationallicence Logistic regression model nationallicence Wang Chao-Hsien Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut Wong Yong-Kie Department of Oral and Maxillofacial Surgery, Taichung Veterans General Hospital, Taichung, Taiwan aut Wang Ching-Ping Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut Wang Chen-Chi Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut Jiang Rong-San Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut Lai Chih-Sheng Department of Plastic and Reconstructive Surgery, Taichung Veterans General Hospital, Taichung, Taiwan aut Liu Shih-An Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3475-3482 0937-4477 272:11<3475 2015 272 405 https://doi.org/10.1007/s00405-014-3372-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3372-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wang Chao-Hsien Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut NATIONALLICENCE 700 1- Wong Yong-Kie Department of Oral and Maxillofacial Surgery, Taichung Veterans General Hospital, Taichung, Taiwan aut NATIONALLICENCE 700 1- Wang Ching-Ping Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut NATIONALLICENCE 700 1- Wang Chen-Chi Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut NATIONALLICENCE 700 1- Jiang Rong-San Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut NATIONALLICENCE 700 1- Lai Chih-Sheng Department of Plastic and Reconstructive Surgery, Taichung Veterans General Hospital, Taichung, Taiwan aut NATIONALLICENCE 700 1- Liu Shih-An Department of Otolaryngology, Taichung Veterans General Hospital, No. 1650, Sect 4, Taiwan Boulevard, Taichung, Taiwan aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3475-3482 0937-4477 272:11<3475 2015 272 405