Synopsis: The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who had received glossectomy procedures. The study sample was split into two groups based on the lack or presence of a flap reconstruction. A total of 1,012 glossectomy patients were identified, with 805 undergoing nonflap reconstruction and 207 undergoing free flap reconstruction. Variables evaluated included wound complications, major and minor morbidity, return to the operating room, mortality, and mean operative time. Patients undergoing free flap reconstruction experienced significantly longer mean operative times (482.1 vs. 183.0 minutes), were more likely to return to the operating room, and had higher likelihood of wound complications, major morbidity, and minor morbidity. There was no difference in mortality between groups (See Figure 1).
Citation: Khan MN, Perez P, Goljo E, et al. The price of free tissue transfer after tongue reconstruction: quantifying the risks. Laryngoscope. 2017;127:1551–1557.