Abstract：
BACKGROUND: Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon.
METHODS: Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103).
RESULTS: Majority were gunshot wounds (GSW; 85%, n = 88) and motor vehicle accidents (11%, n = 11). Majority underwent osseous reconstruction (82%, n = 84). FF failures (9%, n = 9/103) occurred in GSW patients (100%, n = 9/9) and when multiple subsites were injured (89%, n = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (p = 0.01) and 30-day readmissions (4% vs. 17%) (p = 0.02).
CONCLUSIONS: All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.
METHODS: Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103).
RESULTS: Majority were gunshot wounds (GSW; 85%, n = 88) and motor vehicle accidents (11%, n = 11). Majority underwent osseous reconstruction (82%, n = 84). FF failures (9%, n = 9/103) occurred in GSW patients (100%, n = 9/9) and when multiple subsites were injured (89%, n = 8/9). Preoperative antibiotics correlated with lower rates of a neck washouts (4% vs. 19%) (p = 0.01) and 30-day readmissions (4% vs. 17%) (p = 0.02).
CONCLUSIONS: All FF failures occurred in the setting of a GSW and the majority involved multiple subsites. Preoperative antibiotics correlated with lower rates of postoperative washout procedures and 30-day readmission.
摘要：
背景：头颈部外伤的游离皮瓣（FF）重建并不常见。
方法：多机构回顾性病例系列患者因创伤性损伤而接受FF重建（n=103）。
结果：大多数是枪伤（GSW；85%，n=88)和机动车事故(11%，n=11）。大多数人接受了骨重建(82%，n=84）。FF故障(9%，n=9/103)发生在GSW患者(100%，n=9/9），并且当多个子站点受伤时（89%，n=8/9）。术前抗生素与较低的颈部冲洗率相关（4％与19%）（p=0.01）和30天再入院（4%vs.17%)(p=0.02)。
结论：所有FF失败都发生在GSW的设置中，大多数涉及多个子站点。术前抗生素与术后冲洗程序和30天再入院率较低相关。
方法：多机构回顾性病例系列患者因创伤性损伤而接受FF重建（n=103）。
结果：大多数是枪伤（GSW；85%，n=88)和机动车事故(11%，n=11）。大多数人接受了骨重建(82%，n=84）。FF故障(9%，n=9/103)发生在GSW患者(100%，n=9/9），并且当多个子站点受伤时（89%，n=8/9）。术前抗生素与较低的颈部冲洗率相关（4％与19%）（p=0.01）和30天再入院（4%vs.17%)(p=0.02)。
结论：所有FF失败都发生在GSW的设置中，大多数涉及多个子站点。术前抗生素与术后冲洗程序和30天再入院率较低相关。
