A Study on early quality of recovery of patients undergoing oral and maxillofacial tumour resection and free flap reconstruction surgery and its relationship with DAH30

doi:10.19438/j.cjoms.2025.02.002

Abstract

Abstract: PURPOSE: To investigate the early quality of recovery (QoR) of patients undergoing oral and maxillofacial tumour resection and free flap reconstruction surgery, and to analyze the relationship between QoR and days at home alive up to 30 days after surgery(DAH30). METHODS: A prospective, single-centre, cohort study was conducted on patients who were admitted to our hospital from September 2022 to October 2023 and scheduled to undergo oral and maxillofacial tumour resection and free flap reconstruction surgery under general anaesthesia. QoR-15 scale was used to evaluate the QoR on the day before surgery, the first day after surgery, and the second day after surgery. The patients were grouped according to the QoR-15 score on the 1st day after surgery, and the main results were the situation of QoR in the early postoperative period and the relationship between QoR of the 1st postoperative day and DAH30. SAS 9.4 software package was used for data analysis. RESULTS: A total of 251 patients were analyzed, the QoR on the 1st day after surgery was 86(34.26%) cases as poor, 165(65.74%) cases as moderate, as well as 25 (9.96%) cases as poor, 213 (84.86%) cases as moderate and 13(5.18%) cases as good on the second day after surgery. On the first day after surgery, the median DAH30 of patients with poor QoR was 18 days, and that of patients with moderate QoR was 20 days, and the difference was statistically significant(P=0.003). CONCLUSIONS: The early QoR of patients undergoing oral and maxillofacial tumour resection and free flap reconstruction surgery is mainly moderate. Enhancing the quality of recovery of such patients on the first day after surgery is beneficial to improve prognosis.

Key words: Oral and maxillofacial tumors, Free flap reconstruction surgery, Quality of recovery, DAH30, QoR-15 scale

CLC Number:

R739.8

ZHANG Yao, GUO Jun, LI Hui, ZHU Wen, LIU Bing, ZHANG Hui. A Study on early quality of recovery of patients undergoing oral and maxillofacial tumour resection and free flap reconstruction surgery and its relationship with DAH30[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(2): 110-116.

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