Complications after free flap surgery: Do we need a standardized classification of surgical complications?

Christos Perisanidis, Beata Herberger, Nikolaos Papadogeorgakis, Rudolf Seemann, Christina Eder-Czembirek, Dietmar Tamandl, Georg Heinze, Panayiotis A. Kyzas, Anastasios Kanatas, David Mitchell, Klaus Dietrich Wolff, Rolf Ewers

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Our main objective was to apply a standard classification to surgical complications after free flap surgery for reconstructions of the head and neck. We used the modified Clavien-Dindo classification in a cohort of 79 patients who were having reconstructions with jejunal free flaps simultaneously with resections of oral and oropharyngeal cancer. The most common minor complication was the need for a blood transfusion, and the most common major complication of a respiratory nature. The medical complications, and those at the recipient site and the donor site were 53/79 (67%), 44/79 (56%), and 9/79 (11%), respectively. The Clavien-Dindo classification is suitable and can easily be used to evaluate postoperative complications after free tissue transfer.

Original languageEnglish
Pages (from-to)113-118
Number of pages6
JournalBritish Journal of Oral and Maxillofacial Surgery
Volume50
Issue number2
DOIs
StatePublished - Mar 2012

Keywords

  • Clavien-Dindo classification system
  • Jejunum flap
  • Microsurgical reconstruction
  • Oral and oropharyngeal cancer
  • Postoperative complications

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