Annals of Otolaryngology Head and Neck Surgery (ISSN 2835-7132) | Volume 1, Issue 1 | Research Article | Open Access

Association of Sociodemographic Factors in Reconstructive Head and Neck Surgery Procedures

Hunter Archibald*

Department of Otolaryngology, University of Minnesota, USA

*Correspondence to: Hunter Archibald 

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1.1. Objective: Identify sociodemographic factors associated with reconstruction after head and neck procedures

1.2. Study design: Retrospective cohort analysis

1.3. Setting: Ambulatory surgical centers in Florida, Kentucky, Nevada, North Carolina, New York, and Maryland.

Level of Evidence for Prognostic/Risk Study: III.

1.4. Methods: State Ambulatory Surgery and Services Database (SASD) from the Healthcare Cost and Utilization Project (HCUP) were used to identify patients undergoing reconstruction after resection of a lesion in the head and neck.

1.5. Results: 6,967 patients underwent a head and neck resection and subsequent reconstruction; 3,439 (49.4%) were simple reconstructions and 3,528 (50.6%) were advanced reconstructions. Simple reconstruction included secondary intention healing, linear/standard repair of defect, and skin grafting, while advanced reconstruction included all other reconstruction choices local tissue rearrangement and pedicled grafts. Medicaid patients were significantly less likely to undergo reconstruction (OR 0.70, CI 0.4-1.00, p=0.048). Higher patient income was associated with greater rate of reconstruction, as were geographic area, race, and defect size.

1.6. Conclusions: Sociodemographic factors including insurance status, geographic area, and race are associated with likelihood of advanced reconstruction.


Head and neck neoplasms; Mohs surgery; Demography; Reconstructive Surgical procedures; Otolaryngology; Surgery, Plastic


Shekhar K. Gadkaree, Hunter Archibald, David A. Shaye, Sofia Lyford Pike, Peter A. Hilger, Harley S. Dresner.Association of Sociodemographic Factors in Reconstructive Head and Neck Surgery Procedures. Annal of Otol Head and Neck Surg. 2022;1(1):1-8.