Affordable Access

deepdyve-link
Publisher Website

Scoring system for selective tracheostomy in head and neck surgery with free flap reconstruction.

Authors
  • Cai, Tian-Yi1
  • Zhang, Wen-Bo1
  • Yu, Yao1
  • Wang, Yang1
  • Mao, Chi1
  • Guo, Chuan-Bin1
  • Yu, Guang-Yan1
  • Peng, Xin1
  • 1 Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China. , (China)
Type
Published Article
Journal
Head & neck
Publication Date
Dec 04, 2019
Identifiers
DOI: 10.1002/hed.26028
PMID: 31799777
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Selective tracheostomy is an effective but invasive airway management method for patients undergoing head and neck free flap reconstruction. Studies have shown that not all patients need tracheostomy. Several systems evaluating the need for tracheostomy have been proposed, but none is used clinically. A total of 533 cases underwent head and neck free flap reconstruction at Peking University School of Stomatology were reviewed for system development. Another 131 cases undergone the same surgery were included for system verification. Patients' demographic and surgical-related information were analyzed. A total of 321 cases in the development cohort and 68 cases in the system cohort underwent tracheostomy. The score was estimated: score = ∑(|log2 OR|). Patients scoring >3 required tracheostomy, those scoring <2 should avoid tracheostomy, and those scoring 2 or 3 need further evaluation. This scoring system can help determine the need for selective tracheostomy in patients undergoing head and neck free flap reconstruction. © 2019 Wiley Periodicals, Inc.

Report this publication

Statistics

Seen <100 times