Tracheostomy in Flap-Based Head and Neck Cancer Surgery: A Meta-Analysis of Indications and Adverse Outcomes.

ABSTRACT:

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 I² 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 p

SUBMITTER: Chowdhury R 

PROVIDER: S-EPMC12797017 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature