The risk factors for postoperative pulmonary complications after head and neck cancer surgery

The recent article by Damian et al [1] assessing incidence, outcome, and risk factors for postoperative pulmonary complications (PPCs) in 110 head and neck cancer surgery patients with free flap reconstructions was of great interest. They showed that 32.7% of patients developed PPCs, but no perioperative parameters including intraoperative fluid administration or preoperative pulmonary comorbidity were identified as a predictor for PPCs. In this study, we noted that patients underwent surgery for a primary tumor (76.4%), a recurrence (21.8%), or metastasis (1.8%).

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