Perioperative mortality in oncologic head and neck surgery.
OBJECTIVE
The aim of this study was to establish the causes of perioperative mortality after head and neck oncologic surgery, to improve operative strategies and surgery procedures, and to reduce postoperative complications.


METHODS
University Hospitals of Strasbourg, Head and Neck Department.


METHODS
The medical files of patients who died within 30 days of presentation with epidermoid carcinoma of the head or neck were analyzed; criteria included age, sex, medical history, and the location and stage of development of the tumour. MEASUREMENT METHOD: The causes of death are discussed with reference to the pre- and postmortem observations.


RESULTS
In this study, the perioperative mortality rate was 3.07%. It depended more on tumour stage and the medical history of the patient than on tumour location and the age of the patient. The responsibility of the medical team itself was involved in some cases.


CONCLUSIONS
The study shows the difficulty of establishing the cause of death of weakened patients who have undergone a heavy surgical operation. Although the majority of deaths recorded are considered to have been unavoidable, for a small number of them, the absence of vital function monitoring over the first days after the operation was a contributory cause. Perioperative mortality has greatly decreased over the last 30 years and is, at present, almost nonexistent during anesthesia in head and neck surgery.
Schultz
Philippe
P
Department of Otorhinolaryngology-CHU Hautepierre, Strasbourg, France.
Chambres
Olivier
O
Wiorowski
Marc
M
Hemar
Patrick
P
Debry
Christian
C
D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002423:Cause of Death; D005260:Female; D006258:Head and Neck Neoplasms / Q000401:mortality* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies