The published studies about the pre-surgery examinations show themselves in controversy, and only a few of the studies mention the risks of head and neck surgery. The objective of this report was to identify the risk factors on head and neck surgeries, and after that establish a rationalized pre-operative routine that allows us to identify the most and the least affect group ofpatients. In the period of17 months, 382 patients were submitted to head and neck surgery because ofmalign and benign neoplasms. The evaluatedfactors were: the age, the previous treatment to surgery, the general aspect, the cardiac, the pulmonary and anaesthetic risk, the potential of contamination, the port and the character of the surgery related to the complication and mortality rufes. After the statistical analysis a logistical regression was realized to obtain the numeric formula, in which was included the most significantfasctors. We havefounded in our service, a morbidity rale of27,2% and a mortality rufe of 3,9%. The Mo main complications were: pulmonary infection and infection ofthe operative wound. We could observe through the results that the general aspect, the surgical port and character were significant in relation to the morbidity. In relation to the mortality the age, the general aspect and the surgical port were significant. This conclusion allows us to obtain a pro-surgical approach. that will act specifically on the factors or implications, with the intention of decreasing the mortality and morbidity rates.
Riskfactors; Complications; Head and neck surgery; Neoplasms