Abstract
We performed a systematic review and meta-analysis to determine whether diabetic patients have an increased rate of postoperative complications compared to nondiabetic patients after head and neck free flap reconstruction. A systematic review of PubMed Database between 1966 and 2012 was performed. RevMan 5.0 was used for meta-analysis. A retrospective medical chart review of 7890 patients to identify those who had a failed microsurgical reconstruction of the head and neck region at Chang Gung Memorial Hospital was also carried out. The result revealed that patients with diabetes mellitus have a 1.76 increased risk of complications (odds ratio [OR] = 1.76; 95% confidence interval [CI] = 1.11-2.79) with minimal heterogeneity (I2 = 22%; p = .28). The prevalence of diabetes mellitus in patients with failed free flaps for head and neck reconstruction is 15%. The incidence of diabetes mellitus in these patients with failed free flaps is 2.3 times higher than in the general population.<copy;2013>
| Original language | English |
|---|---|
| Pages (from-to) | 615-618 |
| Number of pages | 4 |
| Journal | Head and Neck |
| Volume | 37 |
| Issue number | 4 |
| DOIs | |
| State | Published - 01 04 2015 |
Bibliographical note
Publisher Copyright:© 2014 Wiley Periodicals, Inc. Head Neck 37: 615-618, 2015 © 2014 Wiley Periodicals, Inc.
Keywords
- diabetes mellitus
- evidence-based medicine
- free flap failure
- free flap reconstruction
- head and neck
- meta-analysis
- postoperative complication
