Analysis of cost and outcomes in bony versus soft tissue midface free flap reconstruction. Issue 8 (6th June 2022)

• Record Type: Journal Article
• Authors: Alnemri, Angela; Philips, Ramez; Sussman, Sarah; Xu, Vivian; Givens, Alyssa; Patel, Anjali; Swendseid, Brian; Agarwal, Aarti; Keith, Scott; Shimada, Ayako; Selman, Yamil; Cognetti, David M.; Heffelfinger, Ryan; Goldman, Richard; Luginbuhl, Adam J.; Wax, Mark K.; Sweeny, Larissa; Curry, Joseph M.
• Is Part Of: Head & neck. Volume 44:Issue 8(2022)
• Page Start: 1896
• Page End: 1908
• Publication Date: 2022-06-06
• Subjects: cost analysis -- free flap -- midface -- operative duration -- virtual surgical planning; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.27112
• Languages: English
• ISSNs: 1043-3074

Abstract

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.