Abstract
Background: Outcomes and cost of soft tissue versus bony midface free flap reconstruction (MR) with and without virtual surgical planning (VSP) were evaluated. Methods: Retrospective review of MR including ischemic time (IT), operative duration (OD), length of stay (LOS), and total cost (TC). Eighty-one soft tissue and 76 bony MR (VSP = 23) were reviewed. Results: Bony MR was used for higher complexity defects (p = 0.003) and was associated with higher IT (p < 0.001), OD (p < 0.001), LOS (p = 0.032), and TC (p < 0.001). VSP was associated with a mean 111.2 ± 37.9 minute reduction in OD (p = 0.004) compared to non-VSP bony flaps. VSP was associated with higher itemized cost, but no increase in TC (p = 0.327). Conclusions: Bony MR was used for higher complexity MR and was associated with increased TC, LOS, OD, and IT. VSP shortened OD with no significant increase in TC.
Original language | English (US) |
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Pages (from-to) | 1896-1908 |
Number of pages | 13 |
Journal | Head and Neck |
Volume | 44 |
Issue number | 8 |
DOIs | |
State | Published - Aug 2022 |
Keywords
- cost analysis
- free flap
- midface
- operative duration
- virtual surgical planning
ASJC Scopus subject areas
- Otorhinolaryngology