Tracheostomy in Flap‐Based Head and Neck Cancer Surgery: A Meta‐Analysis of Indications and Adverse Outcomes Article Swipe
Raisa Chowdhury
,
Khanh Linh Tran
,
Naser Karimi
,
Jhorrit Kahlon
,
Cornelius Kürten
,
Sena Turkdogan
,
Eitan Prisman
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/hed.70102
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/hed.70102
Background Tracheostomy is frequently performed during flap‐based reconstruction for head and neck cancer, but predictive factors and complications are not well established. Methods A systematic review and meta‐analysis was conducted per PRISMA guidelines. Studies of adult patients undergoing free or pedicled flap reconstruction were included. Pooled tracheostomy rates, predictors, and complications were analyzed using random‐effects models. Heterogeneity was assessed with the I 2 statistic. Results Twenty‐six studies (27 029 patients) were included. The pooled tracheostomy rate was 54.6%, decreasing to 42.4% when routine tracheostomy studies were excluded. Advanced tumor stage, oropharyngeal site, bilateral neck dissection, prior radiotherapy, and smoking predicted tracheostomy. Flap type was not significantly associated. The overall complication rate was 16.3%, including airway issues (2.6%). No significant change in tracheostomy rates was observed over 30 years. Conclusions Tracheostomy use is influenced by tumor, surgical, and patient factors. Selective tracheostomy and validated risk tools may improve outcomes. Further prospective studies are needed.
Related Topics
Concepts
Medicine
Head and neck cancer
Airway
Surgery
Complication
Head and neck
Prospective cohort study
Adverse effect
Free flap reconstruction
Airway obstruction
Cancer
Free flap
Meta-analysis
Head and neck surgery
MEDLINE
Retrospective cohort study
Mortality rate
Supraglottic airway
Incidence (geometry)
Survival rate
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/hed.70102
- OA Status
- hybrid
- References
- 38
- OpenAlex ID
- https://openalex.org/W7106368217
All OpenAlex metadata
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https://openalex.org/W7106368217Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/hed.70102Digital Object Identifier
- Title
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Tracheostomy in Flap‐Based Head and Neck Cancer Surgery: A Meta‐Analysis of Indications and Adverse OutcomesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-21Full publication date if available
- Authors
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Raisa Chowdhury, Khanh Linh Tran, Naser Karimi, Jhorrit Kahlon, Cornelius Kürten, Sena Turkdogan, Eitan PrismanList of authors in order
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https://doi.org/10.1002/hed.70102Publisher landing page
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1002/hed.70102Direct OA link when available
- Concepts
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Medicine, Head and neck cancer, Airway, Surgery, Complication, Head and neck, Prospective cohort study, Adverse effect, Free flap reconstruction, Airway obstruction, Cancer, Free flap, Meta-analysis, Head and neck surgery, MEDLINE, Retrospective cohort study, Mortality rate, Supraglottic airway, Incidence (geometry), Survival rateTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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