In:
Head & Neck, Wiley, Vol. 43, No. 10 ( 2021-10), p. 3032-3041
Abstract:
We aim to define a set of terms for common free flap complications with evidence‐based descriptions. Methods Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons ( N = 11). A content validity index for relevancy and clarity for each item was computed and adjusted for chance agreement (modified kappa, K ). Items with K 〈 0.74 for relevancy (i.e., ratings of “good” or “fair”) were eliminated. Results Five out of nineteen terms scored K 〈 0.74. Eliminated terms included “vascular compromise”; “cellulitis”; “surgical site abscess”; “malocclusion”; and “non‐ or mal‐union.” Terms that achieved consensus were “total/partial free flap failure”; “free flap takeback”; “arterial thrombosis”; “venous thrombosis”; “revision of microvascular anastomosis”; “fistula”; “wound dehiscence”; “hematoma”; “seroma”; “partial skin graft failure”; “total skin graft failure”; “exposed hardware or bone”; and “hardware failure.” Conclusion Standardized reporting would encourage multi‐institutional research collaboration, larger scale quality improvement initiatives, the ability to set risk‐adjusted benchmarks, and enhance education and communication.
Type of Medium:
Online Resource
ISSN:
1043-3074
,
1097-0347
Language:
English
Publisher:
Wiley
Publication Date:
2021
detail.hit.zdb_id:
2001440-5