Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction

Mac Kenzie Reece; Tyler L. Langenfeld; Kaitlynne Y. Pak; Mark K. Wax; Kenneth Tan; Allison Slijepcevic; Dan Petrisor; Mohamedkazim Alwani; R. Michael Johnson; Yadranko Ducic; Sameep P. Kadakia

doi:10.1016/j.amjoto.2023.103847

Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction

Mac Kenzie Reece, Tyler L. Langenfeld, Kaitlynne Y. Pak, Mark K. Wax, Kenneth Tan, Allison Slijepcevic, Dan Petrisor, Mohamedkazim Alwani, R. Michael Johnson, Yadranko Ducic, Sameep P. Kadakia

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: The rectus abdominis myocutaneous free flap has been widely used as a reconstructive option in head and neck reconstruction with great success. Challenging the popular assumption, this study sought to examine the effects of smoking on donor site complications in this population. Methods: Multi-institution retrospective study of 103 patients (50 active smokers, 28 former and 25 never smoked). Results: Overall complication rate was 14.5 %. Hernia rate 4.8 %, evisceration 0 %, dehiscence 2.9 %, infection 6.7 %. Smoking history did not significantlly influence complication rates (chi square test, p = 0.33). Abdominal wall closure technique also did not influence the complication rate (chi square test, p = 0.58). Conclusions: The rectus abdomonis myocutaneous free flap has an acceptable complication rate that does not appear to be influenced by smoking history. While patients should be counseled regarding smoking cessation, smoking habits should not delay treatment nor obviate consideration of rectus flap utilization.

Original language	English (US)
Article number	103847
Journal	American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume	44
Issue number	4
DOIs	https://doi.org/10.1016/j.amjoto.2023.103847
State	Published - Jul 1 2023

Keywords

Head and neck
Microvascular reconstruction
Wound healing

ASJC Scopus subject areas

Otorhinolaryngology

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10.1016/j.amjoto.2023.103847

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Reece, M. K., Langenfeld, T. L., Pak, K. Y., Wax, M. K., Tan, K., Slijepcevic, A., Petrisor, D., Alwani, M., Johnson, R. M., Ducic, Y., & Kadakia, S. P. (2023). Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 44(4), Article 103847. https://doi.org/10.1016/j.amjoto.2023.103847

Reece, MK, Langenfeld, TL, Pak, KY, Wax, MK, Tan, K, Slijepcevic, A, Petrisor, D, Alwani, M, Johnson, RM, Ducic, Y & Kadakia, SP 2023, 'Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction', American Journal of Otolaryngology - Head and Neck Medicine and Surgery, vol. 44, no. 4, 103847. https://doi.org/10.1016/j.amjoto.2023.103847

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title = "Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction",

abstract = "Objectives: The rectus abdominis myocutaneous free flap has been widely used as a reconstructive option in head and neck reconstruction with great success. Challenging the popular assumption, this study sought to examine the effects of smoking on donor site complications in this population. Methods: Multi-institution retrospective study of 103 patients (50 active smokers, 28 former and 25 never smoked). Results: Overall complication rate was 14.5 %. Hernia rate 4.8 %, evisceration 0 %, dehiscence 2.9 %, infection 6.7 %. Smoking history did not significantlly influence complication rates (chi square test, p = 0.33). Abdominal wall closure technique also did not influence the complication rate (chi square test, p = 0.58). Conclusions: The rectus abdomonis myocutaneous free flap has an acceptable complication rate that does not appear to be influenced by smoking history. While patients should be counseled regarding smoking cessation, smoking habits should not delay treatment nor obviate consideration of rectus flap utilization.",

keywords = "Head and neck, Microvascular reconstruction, Wound healing",

author = "Reece, {Mac Kenzie} and Langenfeld, {Tyler L.} and Pak, {Kaitlynne Y.} and Wax, {Mark K.} and Kenneth Tan and Allison Slijepcevic and Dan Petrisor and Mohamedkazim Alwani and Johnson, {R. Michael} and Yadranko Ducic and Kadakia, {Sameep P.}",

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doi = "10.1016/j.amjoto.2023.103847",

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T1 - Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction

AU - Reece, Mac Kenzie

AU - Langenfeld, Tyler L.

AU - Pak, Kaitlynne Y.

AU - Wax, Mark K.

AU - Tan, Kenneth

AU - Slijepcevic, Allison

AU - Petrisor, Dan

AU - Alwani, Mohamedkazim

AU - Johnson, R. Michael

AU - Ducic, Yadranko

AU - Kadakia, Sameep P.

PY - 2023/7/1

Y1 - 2023/7/1

N2 - Objectives: The rectus abdominis myocutaneous free flap has been widely used as a reconstructive option in head and neck reconstruction with great success. Challenging the popular assumption, this study sought to examine the effects of smoking on donor site complications in this population. Methods: Multi-institution retrospective study of 103 patients (50 active smokers, 28 former and 25 never smoked). Results: Overall complication rate was 14.5 %. Hernia rate 4.8 %, evisceration 0 %, dehiscence 2.9 %, infection 6.7 %. Smoking history did not significantlly influence complication rates (chi square test, p = 0.33). Abdominal wall closure technique also did not influence the complication rate (chi square test, p = 0.58). Conclusions: The rectus abdomonis myocutaneous free flap has an acceptable complication rate that does not appear to be influenced by smoking history. While patients should be counseled regarding smoking cessation, smoking habits should not delay treatment nor obviate consideration of rectus flap utilization.

AB - Objectives: The rectus abdominis myocutaneous free flap has been widely used as a reconstructive option in head and neck reconstruction with great success. Challenging the popular assumption, this study sought to examine the effects of smoking on donor site complications in this population. Methods: Multi-institution retrospective study of 103 patients (50 active smokers, 28 former and 25 never smoked). Results: Overall complication rate was 14.5 %. Hernia rate 4.8 %, evisceration 0 %, dehiscence 2.9 %, infection 6.7 %. Smoking history did not significantlly influence complication rates (chi square test, p = 0.33). Abdominal wall closure technique also did not influence the complication rate (chi square test, p = 0.58). Conclusions: The rectus abdomonis myocutaneous free flap has an acceptable complication rate that does not appear to be influenced by smoking history. While patients should be counseled regarding smoking cessation, smoking habits should not delay treatment nor obviate consideration of rectus flap utilization.

KW - Head and neck

KW - Microvascular reconstruction

KW - Wound healing

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Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction

Abstract

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