Magnitude of radial forearm free flaps and factors associated with loss of volume in oral cancer reconstructive surgery: Prospective study
Background Adequate flap volume is key to maintaining oral function after oral cancer surgery. This study aimed to evaluate changes in radial forearm free flap (RFFF) volumes after 1 year of follow‐up following ablative tumor surgery in the head and neck. Methods A prospective study that recorded th...
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| Veröffentlicht in: | Head & neck 2021-08, Vol.43 (8), p.2405-2413 |
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| container_title | Head & neck |
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| creator | Wang, Si‐Min Yin, Shou‐Cheng Su, Xing‐Zhou Xu, Qiang Liu, Yi‐Hao Xu, Zhong‐Fei |
| description | Background
Adequate flap volume is key to maintaining oral function after oral cancer surgery. This study aimed to evaluate changes in radial forearm free flap (RFFF) volumes after 1 year of follow‐up following ablative tumor surgery in the head and neck.
Methods
A prospective study that recorded the clinical data of 20 patients with head and neck cancer who underwent RFFF reconstruction. Magnetic resonance (MR) and Mimics Research 19.0 software were used to measure the RFFF volumes at 1, 3, 6, and 12 postoperative months.
Results
Compared with one postoperative month, the RFFF volume decreased by 15.5%, 29.4%, and 42.0% at 3, 6, and 12 months, respectively, after surgery. A significant positive correlation between postoperative radiotherapy and RFFF volume changes was detected.
Conclusion
The volume of RFFF decreases with time. It is recommended to use overcorrection, with a 40% increase in RFFF volume, to reconstruct head and neck tumor‐related defects. |
| doi_str_mv | 10.1002/hed.26704 |
| format | Article |
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Adequate flap volume is key to maintaining oral function after oral cancer surgery. This study aimed to evaluate changes in radial forearm free flap (RFFF) volumes after 1 year of follow‐up following ablative tumor surgery in the head and neck.
Methods
A prospective study that recorded the clinical data of 20 patients with head and neck cancer who underwent RFFF reconstruction. Magnetic resonance (MR) and Mimics Research 19.0 software were used to measure the RFFF volumes at 1, 3, 6, and 12 postoperative months.
Results
Compared with one postoperative month, the RFFF volume decreased by 15.5%, 29.4%, and 42.0% at 3, 6, and 12 months, respectively, after surgery. A significant positive correlation between postoperative radiotherapy and RFFF volume changes was detected.
Conclusion
The volume of RFFF decreases with time. It is recommended to use overcorrection, with a 40% increase in RFFF volume, to reconstruct head and neck tumor‐related defects.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.26704</identifier><identifier>PMID: 33847445</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Forearm ; Head & neck cancer ; MRI ; Oral cancer ; radial forearm free flap ; Radiation therapy ; radiotherapy ; Reconstructive surgery ; Surgery ; volume change</subject><ispartof>Head & neck, 2021-08, Vol.43 (8), p.2405-2413</ispartof><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-4e2e0db241a7cdf11ff9ebe808334756f5150dc085d410d2acc76a7104b1ca2c3</citedby><cites>FETCH-LOGICAL-c3534-4e2e0db241a7cdf11ff9ebe808334756f5150dc085d410d2acc76a7104b1ca2c3</cites><orcidid>0000-0002-1139-4653 ; 0000-0003-1612-7578</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.26704$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.26704$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33847445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Si‐Min</creatorcontrib><creatorcontrib>Yin, Shou‐Cheng</creatorcontrib><creatorcontrib>Su, Xing‐Zhou</creatorcontrib><creatorcontrib>Xu, Qiang</creatorcontrib><creatorcontrib>Liu, Yi‐Hao</creatorcontrib><creatorcontrib>Xu, Zhong‐Fei</creatorcontrib><title>Magnitude of radial forearm free flaps and factors associated with loss of volume in oral cancer reconstructive surgery: Prospective study</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Adequate flap volume is key to maintaining oral function after oral cancer surgery. This study aimed to evaluate changes in radial forearm free flap (RFFF) volumes after 1 year of follow‐up following ablative tumor surgery in the head and neck.
Methods
A prospective study that recorded the clinical data of 20 patients with head and neck cancer who underwent RFFF reconstruction. Magnetic resonance (MR) and Mimics Research 19.0 software were used to measure the RFFF volumes at 1, 3, 6, and 12 postoperative months.
Results
Compared with one postoperative month, the RFFF volume decreased by 15.5%, 29.4%, and 42.0% at 3, 6, and 12 months, respectively, after surgery. A significant positive correlation between postoperative radiotherapy and RFFF volume changes was detected.
Conclusion
The volume of RFFF decreases with time. It is recommended to use overcorrection, with a 40% increase in RFFF volume, to reconstruct head and neck tumor‐related defects.</description><subject>Forearm</subject><subject>Head & neck cancer</subject><subject>MRI</subject><subject>Oral cancer</subject><subject>radial forearm free flap</subject><subject>Radiation therapy</subject><subject>radiotherapy</subject><subject>Reconstructive surgery</subject><subject>Surgery</subject><subject>volume change</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kc9u1DAQhy0EoqVw4AWQJS5wSDv-F2e5VaVQpCI4wDny2uPWVRIv46TVvgJPjZfdXpA4eTT6_Glmfoy9FnAqAOTZLYZT2VrQT9ixgJVtQGn7dFdr1Siw-oi9KOUOAFSr5XN2pFSnrdbmmP3-6m6mNC8BeY6cXEhu4DETOhp5JEQeB7cp3E2BR-fnTLUuJfvkZgz8Ic23fMil7H7f52EZkaeJZ6oW7yaPxAl9nspMi5_TPfKy0A3S9gP_Trls8NCsA2xfsmfRDQVfHd4T9vPT5Y-Lq-b62-cvF-fXjVdG6UajRAhrqYWzPkQhYlzhGjvoVN3atNEIA8FDZ4IWEKTz3rbO1lushXfSqxP2bu_dUP61YJn7MRWPw-AmzEvppRGyHsiuZEXf_oPe5YWmOl2ldGeg7cyOer-nfF2pEMZ-Q2l0tO0F9LuA-hpQ_zegyr45GJf1WLuP5GMiFTjbAw9pwO3_Tf3V5ce98g_w-5vp</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Wang, Si‐Min</creator><creator>Yin, Shou‐Cheng</creator><creator>Su, Xing‐Zhou</creator><creator>Xu, Qiang</creator><creator>Liu, Yi‐Hao</creator><creator>Xu, Zhong‐Fei</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1139-4653</orcidid><orcidid>https://orcid.org/0000-0003-1612-7578</orcidid></search><sort><creationdate>202108</creationdate><title>Magnitude of radial forearm free flaps and factors associated with loss of volume in oral cancer reconstructive surgery: Prospective study</title><author>Wang, Si‐Min ; Yin, Shou‐Cheng ; Su, Xing‐Zhou ; Xu, Qiang ; Liu, Yi‐Hao ; Xu, Zhong‐Fei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-4e2e0db241a7cdf11ff9ebe808334756f5150dc085d410d2acc76a7104b1ca2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Forearm</topic><topic>Head & neck cancer</topic><topic>MRI</topic><topic>Oral cancer</topic><topic>radial forearm free flap</topic><topic>Radiation therapy</topic><topic>radiotherapy</topic><topic>Reconstructive surgery</topic><topic>Surgery</topic><topic>volume change</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Si‐Min</creatorcontrib><creatorcontrib>Yin, Shou‐Cheng</creatorcontrib><creatorcontrib>Su, Xing‐Zhou</creatorcontrib><creatorcontrib>Xu, Qiang</creatorcontrib><creatorcontrib>Liu, Yi‐Hao</creatorcontrib><creatorcontrib>Xu, Zhong‐Fei</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Si‐Min</au><au>Yin, Shou‐Cheng</au><au>Su, Xing‐Zhou</au><au>Xu, Qiang</au><au>Liu, Yi‐Hao</au><au>Xu, Zhong‐Fei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnitude of radial forearm free flaps and factors associated with loss of volume in oral cancer reconstructive surgery: Prospective study</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2021-08</date><risdate>2021</risdate><volume>43</volume><issue>8</issue><spage>2405</spage><epage>2413</epage><pages>2405-2413</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
Adequate flap volume is key to maintaining oral function after oral cancer surgery. This study aimed to evaluate changes in radial forearm free flap (RFFF) volumes after 1 year of follow‐up following ablative tumor surgery in the head and neck.
Methods
A prospective study that recorded the clinical data of 20 patients with head and neck cancer who underwent RFFF reconstruction. Magnetic resonance (MR) and Mimics Research 19.0 software were used to measure the RFFF volumes at 1, 3, 6, and 12 postoperative months.
Results
Compared with one postoperative month, the RFFF volume decreased by 15.5%, 29.4%, and 42.0% at 3, 6, and 12 months, respectively, after surgery. A significant positive correlation between postoperative radiotherapy and RFFF volume changes was detected.
Conclusion
The volume of RFFF decreases with time. It is recommended to use overcorrection, with a 40% increase in RFFF volume, to reconstruct head and neck tumor‐related defects.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33847445</pmid><doi>10.1002/hed.26704</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1139-4653</orcidid><orcidid>https://orcid.org/0000-0003-1612-7578</orcidid></addata></record> |
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| subjects | Forearm Head & neck cancer MRI Oral cancer radial forearm free flap Radiation therapy radiotherapy Reconstructive surgery Surgery volume change |
| title | Magnitude of radial forearm free flaps and factors associated with loss of volume in oral cancer reconstructive surgery: Prospective study |
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