Abstract
Facial reconstruction procedures are immensely challenging and are done for a multitude
of reasons. The purpose of this report is to provide nationally representative estimates
of different types of facial reconstructive procedures and to examine prevalence and
predictors of a wide range of complications associated with these procedures in the
USA. The Nationwide Inpatient Sample, the largest inpatient dataset for the USA, was
used. Data for the years 2004–2010 related to facial reconstruction procedures were
identified through ICD-9-CM procedure codes. Associated complications were identified
using secondary diagnosis field codes. Multivariable logistic regression models were
used to examine the association between patient/hospital-level factors and the occurrence
of complications. A total 26,374 facial reconstruction procedures were performed.
About 20% of all patients who had facial reconstruction procedures developed a complication.
Frequently occurring complications included postoperative pneumonia (4.9% of hospitalizations),
hemorrhage (3.9%), other infections (3.6%), non-healing wounds (3.5%), and iatrogenically
induced complications (3.2%). Significant factors found to be consistently associated
with different types of complications included age, co-morbid burden, sex, and type
of admission. The reported results are generalizable within limitations and can be
used by health care providers to tailor quality improvement initiatives to minimize
or better treat complications in the high-risk cohorts.
Key words
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Article info
Publication history
Published online: January 23, 2016
Accepted:
December 24,
2015
Identification
Copyright
© 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
