Table 2.
Operative Details (n = 245), Univariate Analysis Results*
| # Patients (%) | Any Complication | Wound Complication | Fistula | Readmission | |
|---|---|---|---|---|---|
| Reason for Laryngectomy | |||||
| Primary surgery | 93 (38.0) | - | - | - | - |
| Salvage | 137 (55.9) | 1.22 (0.70-2.15) | 1.48 (0.77-2.84) | 3.02 (1.25-7.25) | 1.22 (0.57-2.62) |
| Dysfunctional larynx | 15 (6.1) | 1.10 (0.35-3.52) | 0.69 (0.14-3.34) | *** | 1.22 (0.57-2.62) |
| Resection Type | |||||
| TL | 107 (43.7) | - | - | - | - |
| TL + PP/Glossectomy | 84 (34.3) | 1.49 (0.81-2.77) | 1.45 (0.70-2.97) | 1.46 (0.59-3.63) | 1.21 (0.52-2.80) |
| TLP | 54 (22.0) | 2.15 (1.08-4.27) | 2.08 (0.96-4.51) | 3.08 (1.25-7.58) | 1.45 (0.58-3.63) |
| Neck Dissection | |||||
| No | 35 (14.3) | - | - | - | - |
| Yes | 210 (85.7) | 1.54 (0.69-3.46) | 1.12 (0.46-2.73) | 1.29 (0.43-3.92) | 1.85 (0.53-6.40) |
| Pharyngeal closure (no flap) | |||||
| Unknown | 40 (50.0) | - | - | - | - |
| Vertical | 27 (33.8) | 0.62 (0.19-2.04) | 0.39 (0.7-20.3) | 0.49 (0.05-4.94) | 0.28 (0.03-2.51) |
| Horizontal | 9 (11.3) | 0.34 (0.04-3.05) | ** | *** | **** |
| T-type | 4 (5.0) | 0.91 (0.09-9.69) | 1.62 (0.15-17.9) | 4.22 (0.33-54.1) | 2.40 (0.21-27.8) |
| Flap Reconstruction | |||||
| No | 81 (33.1) | - | - | - | - |
| Yes | 164 (66.9) | 1.55 (0.86-2.77) | 2.19 (1.06-4.53) | 2.57 (1.02-6.49) | 1.21 (0.55-2.68) |
| Type of Flap Reconstruction | |||||
| Pectoralis | 20 (12.2) | - | - | - | - |
| Anterolateral thigh | 124 (75.6) | 0.92 (0.35 -2.40) | 1.09 (0.37-3.23) | 0.86 (0.26-2.83) | 0.44 (0.14-1.39) |
| Radial forearm | 10 (6.1) | 0.64 (0.13-3.25) | ** | *** | 0.33 (0.03-3.33) |
| Other | 10 (6.1) | 1.5 (0.36-6.92) | 2.0 (0.40-10.1) | 1.00 (0.15-6.67) | 1.29 (0.24-6.96) |
| Primary TEP (all) | 80 (32.7) | 0.71 (0.40-1.26) | 0.53 (0.26-1.08) | 0.49 (0.20-1.18) | 0.98 (0.45-2.13) |
| without flap | 59 (73.8) | - | - | - | - |
| with flap | 21 (26.3) | 0.76 (0.28-2.05) | 0.58 (0.16-2.05) | 0.63 (0.14-2.84) | 1.04 (0.29-3.73) |
Odds Ratio (95% Confidence Interval);
No patients had wound complications;
No patients had fistula;
No patients were readmitted. Abbreviations: TL, total laryngectomy; PP, partial pharyngectomy; TLP, total laryngopharyngectomy; TEP, tracheoesophageal prosthesis