Head and Neck Tumor, Flap Crisis
Conditions
Interventions
Flap Crisis Group:None
No Flap Crisis Group:None
Sponsors
Shanghai Ninth People's Hospital, Shanghai Jiao Tong University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Positive Group: (1) Patients who underwent radical oral cancer surgery (including tongue cancer, buccal cancer, gingival cancer, etc.) combined with flap reconstruction (such as anterolateral thigh flap, forearm flap, pectoralis major myocutaneous flap, etc.) in the Department of Oral and Maxillofacial Surgery of our hospital between June 2020 and June 2025; (2) Postoperative flap crisis (manifested as changes in flap color, decreased temperature, prolonged or absent capillary refill time, flap swelling or atrophy, etc.) occurred, and secondary surgery (such as flap exploration, partial flap resection, vascular re-anastomosis, etc.) was required after conservative treatment (e.g., warming, antispasmodics, anticoagulation, etc.) proved ineffective; (3) Complete clinical data were available, including patient demographics, preoperative examination results, surgical details, postoperative care, and follow-up records. 2. Negative Group: (1) Patients who underwent radical oral cancer surgery (including tongue cancer, buccal cancer, gingival cancer, etc.) combined with flap reconstruction (such as anterolateral thigh flap, forearm flap, pectoralis major myocutaneous flap, etc.) in the Department of Oral and Maxillofacial Surgery of our hospital between June 2020 and June 2025; (2) Complete clinical data were available, including patient demographics, preoperative examination results, surgical details, postoperative care, and follow-up records.
Exclusion criteria
Exclusion criteria: 1. Patients with severe functional failure of vital organs such as the heart, liver, or kidneys, who cannot tolerate secondary surgery; 2. Patients who underwent secondary surgery due to tumor recurrence, metastasis, or other unrelated reasons; 3. Patients with severely incomplete clinical data, where critical information cannot be obtained; 4. Patients who required repeated reoperations due to flap crisis — only data from the first surgery performed for flap crisis will be included.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of the operation;Blood loss;Blood transfusion volume;History of radiotherapy and chemotherapy for tumors and related surgical history;Blood pressure;Blood glucose;Flap size and type;Hemoglobin;Platelets; Fibrinogen;DD dimer;Albumin;Potassium;sensitivity, specificity, negative predictive value, positive predictive value; | — |
Secondary
| Measure | Time frame |
|---|---|
| Chronic diseases such as hypertension, coronary heart disease and diabetes;History of smoking and drinking;Tumor size, type and stage; | — |
Countries
China
Contacts
Public ContactChen Jie
Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
Outcome results
None listed