SMOKING AND FLAP SURVIVAL: A COMPREHENSIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/6kfq6s08Keywords:
Smoking, flap, surgery, woundAbstract
Background: Free flap reconstruction of complex and/or large wounds, whether traumatic, following cancer resection, or for other reconstructive needs has become a commonly accepted practice. Multiple different types of free flaps are utilized for varying needs based on the individual patient and the defect that requires coverage. active smokers who underwent a nonelective traumatic reconstruction with a perforator-based fasciocutaneous flap (anterolateral thigh [ALT] flap) will have a higher incidence of smoking-related complications compared to the use of a muscle-only flap.
The aim: The aim of this study to show about smoking and flap survival.
Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Google Scholar were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: In the PubMed database, the results of our search get 9 articles, whereas the results of our search on SagePub get 441 articles, on Google Scholar 4830 articles. Records remove before screening are 2771, so we get 2509 articles fos screening. After we screened based on record exclude, we compiled a total of 10 papers. We included five research that met the criteria.
Conclusion: Smoking decreases the alveolar oxygen pressure and subcutaneous wound tissue oxygen, and nicotine causes vasoconstriction, smokers are more likely to experience flap loss, hematoma, or fat necrosis than non-smokers. Preoperative and post-operative abstinence period of at least 1 week is necessary for smokers who undergo flap operations.
References
Sadagatullah A, Halim A, Bathusha M, Ramachandran A. The Effects of Passive Cigarette Smoke Exposure on the Survival of the Reverse Sural Fasciocutaneous Flap. J Hand Microsurg. 2017;09(03):120–5.
Alverdy JC, Prachand V. Smoking and postoperative surgical site infection where there’s smoke, there’s fire. JAMA Surg. 2017;152(5):484.
Zhao Z, Tao Y, Xiang X, Liang Z, Zhao Y. Identification and Validation of a Novel Model: Predicting Short-Term Complications After Local Flap Surgery for Skin Tumor Removal. Med Sci Monit. 2022;28:1–10.
Oleru OO, Shah N V., Zhou PL, Sedaghatpour D, Mistry JB, Wham BC, et al. Recent Smoking History Is Not Associated with Adverse 30-Day Standardized Postoperative Outcomes following Microsurgical Reconstructive Procedures of the Upper Extremity. Plast Surg. 2023;31(1):61–9.
Karamanos E, Saad N, Smith KE, Patnaik R, Wang HT, Cromack D. Not all flaps are created equal: Assessing the impact of active smoking in muscle-only versus perforator flaps for patients undergoing nonelective extremity-free tissue transfer—A case control study. Microsurgery. 2021;41(6):513–21.
Fan Chiang YH, Lee YW, Lam F, Liao CC, Chang CC, Lin CS. Smoking increases the risk of postoperative wound complications: A propensity score-matched cohort study. Int Wound J. 2023;20(2):391–402.
Ooms M, Puladi B, Houschyar KS, Heitzer M, Rashad A, Bickenbach J, et al. Smoking and microvascular free flap perfusion in head and neck reconstruction: radial free forearm flaps and anterolateral thigh flaps. Sci Rep [Internet]. 2022;12(1):1–9. Available from: https://doi.org/10.1038/s41598-022-18216-6
Puyana S, Puyana C, Hajebian HH, Jansen DA, Chaffin AE. Smoking as a Risk Factor for Forehead Flap Wound Outcomes: An Analysis of 1030 Patients. Eplasty. 2022;22:e55.
Min SH, Choe SH, Kim WS, Ahn SH, Cho YJ. Effects of ischemic conditioning on head and neck free flap oxygenation: a randomized controlled trial. Sci Rep [Internet]. 2022;12(1):1–10. Available from: https://doi.org/10.1038/s41598-022-12374-3
Matin T, Seyffert J, Katz B, Rivlin D. Tadalafil to improve cutaneous flap perfusion in smokers: A case series and literature review. JAAD Case Reports [Internet]. 2021;15:126–8. Available from: https://doi.org/10.1016/j.jdcr.2021.05.025
Sterling J, Policastro C, Elyaguov J, Simhan J, Nikolavsky D. How and why tobacco use affects reconstructive surgical practice: a contemporary narrative review. Transl Androl Urol. 2023;12(1):112–27.
Grønkjær M, Eliasen M, Skov-Ettrup LS, Tolstrup JS, Christiansen AH, Mikkelsen SS, et al. Preoperative smoking status and postoperative complications: A systematic review and meta-analysis. Ann Surg. 2014;259(1):52–71.
Agrawal S, Ingrande J, Said ET, Gabriel RA. The Association of Preoperative Smoking With Postoperative Outcomes in Patients Undergoing Total Hip Arthroplasty. J Arthroplasty [Internet]. 2021;36(3):1029–34. Available from: https://doi.org/10.1016/j.arth.2020.09.049
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