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Table 5 Management of 39 patients with plate exposure

From: Surgical site infections following oral cavity cancer resection and reconstruction is a risk factor for plate exposure

 Original Flap Utilized

 Fibular Flap

25 (64.1%)

 Radial Forearm Free Flap

7 (17.9%)

 Anterolateral Thigh Flap

3 (7.7%)

 Scapular Free Flap

4 (10.3%)

Post-operative Issues:

 flap failures (24 h take-back)

3 (7.7%)

 infection

19 (48.7%)

 hematoma

1 (2.6%)

Post-op Radiation:

 yes

26 (66.7%)

 no

13 (33.3%)

Time to Plate Exposure:

 mean

15.1 months (0.4 – 120.8)

 median

9.24 months

Exposure Location:

 intraoral

23 (59.0%)

 external

15 (38.5%)

 unknown

1 (2.5%)

Mean Time to Plate Exposure by Location:

 Internal

13.6 +/− 10.4 months

p = 0.012*

 External

42.3 +/− 18.0 months

 

Concurrent Bony Concerns:

 non-union

7 (17.9%)

 bone exposure

5 (12.8%)

Management:

 Conservative

11 (28.3%) (1 palliative, 1 complete closure, ongoing monitoring)

 OR Plate Removal/Debridement

9 (23.1%)

 OR Plate removal + Local Flap

6 (15.3%)

 OR Plate Removal + Free Flap

13 (33.3%)

Outcomes:

 Multiple Revision

7 (17.9%)

 Chronic Drainage

1 (2.6%)

 Recurrence

2 (5.1%)

 Deceased

3 (7.7%)

  1. *calculated using student t-test