{"id":"https://openalex.org/W2022401439","doi":"https://doi.org/10.1001/archotol.132.1.67","title":"Complications in Head and Neck Surgery","display_name":"Complications in Head and Neck Surgery","publication_year":2006,"publication_date":"2006-01-01","ids":{"openalex":"https://openalex.org/W2022401439","doi":"https://doi.org/10.1001/archotol.132.1.67","mag":"2022401439","pmid":"https://pubmed.ncbi.nlm.nih.gov/16415432"},"language":"en","primary_location":{"id":"doi:10.1001/archotol.132.1.67","doi":"https://doi.org/10.1001/archotol.132.1.67","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archotol.132.1.67","pdf_url":null,"source":{"id":"https://openalex.org/S101791497","display_name":"Archives of Otolaryngology - Head and Neck Surgery","issn_l":"0886-4470","issn":["0886-4470","1538-361X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Otolaryngology\u2013Head &amp; Neck Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075416174","display_name":"Joseph A. Paydarfar","orcid":"https://orcid.org/0000-0003-1490-6797","observed_orcids":["https://orcid.org/0000-0003-1490-6797"]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]},{"id":"https://openalex.org/I4390039367","display_name":"Dartmouth Cancer Center","ror":"https://ror.org/044b05b34","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4390039367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph A. Paydarfar","raw_affiliation_strings":["Division of Otolaryngology-Head & Neck Surgery, Norris Cotton Cancer Center, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Otolaryngology-Head & Neck Surgery, Norris Cotton Cancer Center, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA","institution_ids":["https://openalex.org/I1289422878","https://openalex.org/I4390039367"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015333167","display_name":"Nancy J. O. Birkmeyer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nancy J. Birkmeyer","raw_affiliation_strings":["Institute for Healthcare Policy and Innovation"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Healthcare Policy and Innovation","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.5382,"has_fulltext":false,"cited_by_count":348,"citation_normalized_percentile":{"value":0.97784235,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"132","issue":"1","first_page":"67","last_page":"67"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11669","display_name":"Head and Neck Surgical Oncology","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pharyngocutaneous-fistula","display_name":"pharyngocutaneous fistula","score":0.9599999785423279},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.9160000085830688},{"id":"https://openalex.org/keywords/preoperative-radiotherapy","display_name":"preoperative radiotherapy","score":0.9160000085830688},{"id":"https://openalex.org/keywords/laryngectomy","display_name":"laryngectomy","score":0.6050000190734863},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.7820000052452087}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8039151430130005},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.5249364972114563},{"id":"https://openalex.org/C2778474501","wikidata":"https://www.wikidata.org/wiki/Q355817","display_name":"Neck dissection","level":3,"score":0.5027427673339844},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.4881032407283783},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4803851246833801},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.47739118337631226},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.4532935321331024},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.42831188440322876},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1837431788444519},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.1656528115272522}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007822","descriptor_name":"Laryngeal Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D007825","descriptor_name":"Laryngectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D010608","descriptor_name":"Pharyngeal Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010608","descriptor_name":"Pharyngeal Diseases","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017577","descriptor_name":"Cutaneous Fistula","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D017577","descriptor_name":"Cutaneous Fistula","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/archotol.132.1.67","doi":"https://doi.org/10.1001/archotol.132.1.67","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archotol.132.1.67","pdf_url":null,"source":{"id":"https://openalex.org/S101791497","display_name":"Archives of Otolaryngology - Head and Neck Surgery","issn_l":"0886-4470","issn":["0886-4470","1538-361X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Otolaryngology\u2013Head &amp; Neck Surgery","raw_type":"journal-article"},{"id":"pmid:16415432","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16415432","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of otolaryngology--head & neck surgery","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W20724247","https://openalex.org/W111097969","https://openalex.org/W1910163443","https://openalex.org/W1974254222","https://openalex.org/W1976774278","https://openalex.org/W1978561820","https://openalex.org/W1979423827","https://openalex.org/W1980093061","https://openalex.org/W1980812685","https://openalex.org/W1987809237","https://openalex.org/W1990332610","https://openalex.org/W2007969543","https://openalex.org/W2030815656","https://openalex.org/W2046181440","https://openalex.org/W2052715292","https://openalex.org/W2056684015","https://openalex.org/W2063100308","https://openalex.org/W2063330588","https://openalex.org/W2069340038","https://openalex.org/W2071402913","https://openalex.org/W2084254640","https://openalex.org/W2084335399","https://openalex.org/W2104640066","https://openalex.org/W2107328434","https://openalex.org/W2114734894","https://openalex.org/W2117570090","https://openalex.org/W2120577254","https://openalex.org/W2130490866","https://openalex.org/W2133796691","https://openalex.org/W2139057496","https://openalex.org/W2143523045","https://openalex.org/W2148421162","https://openalex.org/W2152852361","https://openalex.org/W2154777231","https://openalex.org/W2155132414","https://openalex.org/W2155848096","https://openalex.org/W2160697698","https://openalex.org/W2322109320","https://openalex.org/W2468916380"],"related_works":["https://openalex.org/W1558861879","https://openalex.org/W2080226355","https://openalex.org/W2046093083","https://openalex.org/W2046452924","https://openalex.org/W50322857","https://openalex.org/W4283812588","https://openalex.org/W2985825453","https://openalex.org/W2901394044","https://openalex.org/W1920499311","https://openalex.org/W2383365267"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"summarize":[2],"the":[3,16,54,90,104,146,154,230],"potential":[4,231],"risk":[5,81,92,99,120,125,150,217],"factors":[6,100,151,218],"for":[7,79,123,186,219],"postlaryngectomy":[8,20,220],"pharyngocutaneous":[9,21,221],"fistula.":[10,222],"DATA":[11,84,138],"SOURCES:":[12],"Observational":[13],"studies":[14,43,52,66,135,142,183,238],"in":[15,153,204],"English-language":[17],"literature":[18],"about":[19,53],"fistula":[22,94,122,201],"from":[23,103],"January":[24],"1,":[25],"1970,":[26],"to":[27,68,88,115],"March":[28],"31,":[29],"2003.":[30],"Studies":[31],"were":[32,44,101],"identified":[33,45,152,214],"through":[34,46],"a":[35,76,107,110,117,207],"MEDLINE":[36],"search":[37],"with":[38,75,96,206],"relevant":[39],"key":[40],"words;":[41],"additional":[42],"references.":[47],"STUDY":[48],"SELECTION:":[49],"We":[50],"included":[51,157],"site":[55],"of":[56,60,64,93,121,130,132,178,180,200,209,226,233,235],"primary":[57],"malignancy,":[58],"type":[59,63],"procedure,":[61],"and":[62,106,169,172,195,229],"closure;":[65],"had":[67],"have":[69],"been":[70],"based":[71],"on":[72],"individual-level":[73],"data,":[74],"comparison":[77],"group":[78],"each":[80,124],"factor":[82],"evaluated.":[83],"EXTRACTION:":[85],"Data":[86],"required":[87],"calculate":[89],"relative":[91,119],"associated":[95],"commonly":[97],"reported":[98],"abstracted":[102],"studies,":[105],"meta-analysis":[108,213],"using":[109],"random-effects":[111],"approach":[112],"was":[113,136,184,202],"performed":[114],"estimate":[116],"summary":[118],"factor.":[126],"The":[127,176,198,223],"statistical":[128],"significance":[129],"heterogeneity":[131,179,234],"effects":[133,181,236],"among":[134,182,237],"assessed.":[137],"SYNTHESIS:":[139],"Of":[140],"65":[141],"identified,":[143],"26":[144],"met":[145],"inclusion":[147],"criteria.":[148],"Significant":[149],"pooled":[155],"analysis":[156],"postoperative":[158,187],"hemoglobin":[159,188],"level":[160],"less":[161],"than":[162],"12.5":[163],"g/dL,":[164],"prior":[165],"tracheotomy,":[166],"preoperative":[167,170,190],"radiotherapy,":[168,191],"radiotherapy":[171],"concurrent":[173,192],"neck":[174,193],"dissection.":[175],"degree":[177],"significant":[185,216],"level,":[189],"dissection,":[194],"comorbid":[196],"illness.":[197],"severity":[199],"greater":[203],"patients":[205],"history":[208],"radiotherapy.":[210],"CONCLUSIONS:":[211],"This":[212],"several":[215],"clinical":[224],"implications":[225],"these":[227],"findings":[228],"sources":[232],"are":[239],"discussed.":[240]},"counts_by_year":[{"year":2026,"cited_by_count":20},{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":27},{"year":2023,"cited_by_count":25},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":19},{"year":2020,"cited_by_count":26},{"year":2019,"cited_by_count":18},{"year":2018,"cited_by_count":21},{"year":2017,"cited_by_count":17},{"year":2016,"cited_by_count":23},{"year":2015,"cited_by_count":23},{"year":2014,"cited_by_count":24},{"year":2013,"cited_by_count":30},{"year":2012,"cited_by_count":16}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
