Abstract
Background
Microvascular free tissue transfer reconstruction following resection of oral cancer
is commonly chosen as the first line of treatment due to its superior functional outcomes.
Multiple patient and surgical factors impact on the length of post-operative stay,
and the time taken for patients to recommence oral feeding. This study aims to identify
factors which increase the length of stay and time to resumption of feeding.
Methods
We retrospectively evaluated 100 cases from March 2015 to October 2020 and identified
variables associated with increased length of stay (LOS) and time to resumption of
feeding in univariate and multivariate analysis.
Results
Factors found to be associated with increased LOS in multivariate analysis were increasing
age, elective tracheostomy, tumours originating from the floor of mouth and mandible,
longer operating time and use of fibula free flap (p<0.05). Tracheostomy, increasing
age and female gender were strongly associated with delays in resumption of some types
of oral feeding, and integrated critical care unit (ICCU) stays of two or more days
was associated with longer time to resumption of free fluids.
Conclusion
This information can be used to anticipate extensions to typical LOS, to produce cost
analyses, develop individual patient risk stratification, manage patient expectations,
and target use of enhanced recovery programmes.
Keywords
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Article Info
Publication History
Accepted:
July 11,
2022
Received in revised form:
June 17,
2022
Received:
April 1,
2022
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
Crown Copyright © 2022 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons. All rights reserved.
