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Mandibular resectio...
Mandibular resection in patients with head and neck cancer : acute and long-term complications after reconstruction
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- Sjöström, Mats (författare)
- Umeå universitet,Institutionen för odontologi,Department of Odontology, Oral and Maxillofacial Surgery, Umeå University Hospital, Umeå, Sweden,Umeå Univ Hosp, Dept Odontol Oral & Maxillofacial Surg, Umeå, Sweden
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- Danielsson, Daniel (författare)
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden;Patient Area, Craniofacial Diseases, Karolinska University Hospital, Stockholm, Sweden,Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden.;Karolinska Univ Hosp, Craniofacial Dis, Patient Area, Stockholm, Sweden
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- Munck-Wikland, Eva (författare)
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden;Patient Area Head and Neck-, Lung-, and Skin-Cancer, Karolinska University Hospital, Stockholm, Sweden,Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden.;Karolinska Univ Hosp, Patient Area Head & Neck Lung & Skin Canc, Stockholm, Sweden
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- Nyberg, Jan (författare)
- Department of Oral and Maxillofacial Surgery, Centre for Head and Neck Oncology, Örebro University Hospital, Örebro, Sweden,Örebro Univ Hosp, Ctr Head & Neck Oncol, Dept Oral & Maxillofacial Surg, Örebro, Sweden
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- Sandström, Karl, 1973- (författare)
- Uppsala universitet,Öron-, näs- och halssjukdomar
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- Thor, Andreas (författare)
- Uppsala universitet,Odontologi & Maxillofacial kirurgi
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- Johansson, Hemming (författare)
- Karolinska Institutet
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- Ceghafi, Payam (författare)
- Department of Oral and Maxillofacial Surgery, Centre for Head and Neck Oncology, Örebro University Hospital, Örebro, Sweden,Örebro Univ Hosp, Ctr Head & Neck Oncol, Dept Oral & Maxillofacial Surg, Örebro, Sweden
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- Dybeck Udd, Sebastian (författare)
- Patient Area, Craniofacial Diseases, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Craniofacial Dis, Patient Area, Stockholm, Sweden
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- Emanuelsson, Jonas (författare)
- Department of Odontology, Oral and Maxillofacial Surgery, Umeå University Hospital, Umeå, Sweden,Umeå Univ Hosp, Dept Odontol Oral & Maxillofacial Surg, Umeå, Sweden
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- Forsberg Pettersson, Linda (författare)
- Department of Odontology, Oral and Maxillofacial Surgery, Umeå University Hospital, Umeå, Sweden,Umeå Univ Hosp, Dept Odontol Oral & Maxillofacial Surg, Umeå, Sweden
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- Halle, Martin (författare)
- Karolinska Institutet
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- Laurell, Göran (författare)
- Uppsala universitet,Öron-, näs- och halssjukdomar
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(creator_code:org_t)
- 2022-01-13
- 2022
- Engelska.
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Ingår i: Acta Oto-Laryngologica. - : Taylor & Francis Group. - 0001-6489 .- 1651-2251. ; 142:1, s. 78-83
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://www.tandfonl...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: The treatment of head and neck cancer is an intensive multimodal treatment that has a great impact on the individual patient.Aims/Objectives: This study aimed to evaluate acute and long-term complications associated with mandibular resections and reconstructions.Material and Methods: We retrospectively retrieved data on complications and recurrences among patients that underwent mandibular resections and reconstructions for treating oral cavity cancer (n = 190 patients) and osteoradionecrosis (ORN, n = 72). Reconstructions included composite grafts (n = 177), soft tissue flaps (n = 61), or primary closure without any graft (n = 24).Results: Forty-two patients that underwent reconstructions with composite grafts displayed serious complications (Clavien–Dindo ≥ IIIa). The complication rates were similar between patients treated for oral cavity cancer and patients treated for ORN. Patients that underwent a primary closure without any graft, had a significantly lower risk of complications compared to patients that underwent the other treatments. After hospitalization, 181 patients (69%) had at least one complication.Conclusions: A majority of patients undergoing resection and reconstruction due to oral cancer/ORN suffered from postoperative complications regardless of indication, comorbidity status or reconstruction technique. The risk of Clavien–Dindo grade IIIa–V events was significantly lower for patients treated with primary closure without grafts. Significance: The results from this study clarifies the importance of in-depth analyse prior to decision of treatment for patients with head and neck cancer.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Head and neck cancer
- mandible
- resection
- reconstruction
- affecting factors
- complications
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Sjöström, Mats
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Danielsson, Dani ...
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Munck-Wikland, E ...
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Nyberg, Jan
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Sandström, Karl, ...
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Thor, Andreas
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Johansson, Hemmi ...
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Ceghafi, Payam
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Dybeck Udd, Seba ...
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Emanuelsson, Jon ...
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Forsberg Petters ...
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Halle, Martin
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Laurell, Göran
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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Acta Oto-Laryngo ...
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Umeå universitet
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Uppsala universitet
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Karolinska Institutet