Analysis of postoperative complications of oral cavity cancer: A cohort study

Background: Oral cancer treatment consists of surgical resection, neck dissection and reconstruction. Postoperative complications influence overall surgical outcome, increase costs and hospital stay. Methods: A cohort study of 140 patients operated for oral cavity cancer, was undertaken. Patients we...

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Main Authors: Prakhar Katta, Arjun Agarwal, Aamir Mallick Saifi, Anurag Yadav
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906023000286
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author Prakhar Katta
Arjun Agarwal
Aamir Mallick Saifi
Anurag Yadav
author_facet Prakhar Katta
Arjun Agarwal
Aamir Mallick Saifi
Anurag Yadav
author_sort Prakhar Katta
collection DOAJ
description Background: Oral cancer treatment consists of surgical resection, neck dissection and reconstruction. Postoperative complications influence overall surgical outcome, increase costs and hospital stay. Methods: A cohort study of 140 patients operated for oral cavity cancer, was undertaken. Patients were evaluated for 7 complications within the 30 day postoperative period. Complications included wound dehiscence, wound infection, partial flap loss, total flap loss, orocutaneous, wound bleeding and chyle leak. Results: Overall complication rate was 45% [n ​= ​63]. Most noted complication was wound dehiscence [30.71%]. Risk factors assessed were age, sex, stage of the lesion and flap used. Staging of the disease and reconstruction flap used were found to have statistically significant association with incidence of complications [p value ​< ​0.05]. Conclusion: We concluded that on an average, our overall rates were similar to other rates reported in literature. We also found that advanced stage and flap are significant factors in occurrence of complications for oral cavity cancer. Prompt recognition of risk factors for complications based on pre-operative clinical characteristics and identification of the risks associated with the surgical procedure is very essential.
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series Oral Oncology Reports
spelling doaj-art-a46fe7219d4d4f03987dca882334f9c12024-11-23T06:32:17ZengElsevierOral Oncology Reports2772-90602023-06-016100038Analysis of postoperative complications of oral cavity cancer: A cohort studyPrakhar Katta0Arjun Agarwal1Aamir Mallick Saifi2Anurag Yadav3Maxillofacial Surgery, India; Oral Oncology, Rohilkhand Medical College, India; Corresponding author. Maxillofacial Surgery, India.Surgical Oncology, IndiaOral Oncology, IndiaOral and Maxillofacial Surgery, IndiaBackground: Oral cancer treatment consists of surgical resection, neck dissection and reconstruction. Postoperative complications influence overall surgical outcome, increase costs and hospital stay. Methods: A cohort study of 140 patients operated for oral cavity cancer, was undertaken. Patients were evaluated for 7 complications within the 30 day postoperative period. Complications included wound dehiscence, wound infection, partial flap loss, total flap loss, orocutaneous, wound bleeding and chyle leak. Results: Overall complication rate was 45% [n ​= ​63]. Most noted complication was wound dehiscence [30.71%]. Risk factors assessed were age, sex, stage of the lesion and flap used. Staging of the disease and reconstruction flap used were found to have statistically significant association with incidence of complications [p value ​< ​0.05]. Conclusion: We concluded that on an average, our overall rates were similar to other rates reported in literature. We also found that advanced stage and flap are significant factors in occurrence of complications for oral cavity cancer. Prompt recognition of risk factors for complications based on pre-operative clinical characteristics and identification of the risks associated with the surgical procedure is very essential.http://www.sciencedirect.com/science/article/pii/S2772906023000286Oral oncologyOral cavityOral cavity cancerComplicationImmediateWound
spellingShingle Prakhar Katta
Arjun Agarwal
Aamir Mallick Saifi
Anurag Yadav
Analysis of postoperative complications of oral cavity cancer: A cohort study
Oral Oncology Reports
Oral oncology
Oral cavity
Oral cavity cancer
Complication
Immediate
Wound
title Analysis of postoperative complications of oral cavity cancer: A cohort study
title_full Analysis of postoperative complications of oral cavity cancer: A cohort study
title_fullStr Analysis of postoperative complications of oral cavity cancer: A cohort study
title_full_unstemmed Analysis of postoperative complications of oral cavity cancer: A cohort study
title_short Analysis of postoperative complications of oral cavity cancer: A cohort study
title_sort analysis of postoperative complications of oral cavity cancer a cohort study
topic Oral oncology
Oral cavity
Oral cavity cancer
Complication
Immediate
Wound
url http://www.sciencedirect.com/science/article/pii/S2772906023000286
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