Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method
The purpose of this study was to introduce a novel individualized flap design method for large anterior floor of the mouth (AFOM) defect reconstruction, review experience with the use of this flap design method for large AFOM defect reconstruction, and assess its functional results. A retrospective...
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| Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2023-09, Vol.51 (9), p.574-579 |
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| container_title | Journal of cranio-maxillo-facial surgery |
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| creator | Liu, Min-Da Liu, Ding-Zhuo Al-Aroomi, Maged Ali Xiong, Jian-Jun Liu, Sheng Sun, Chang-Fu Liu, Fa-Yu |
| description | The purpose of this study was to introduce a novel individualized flap design method for large anterior floor of the mouth (AFOM) defect reconstruction, review experience with the use of this flap design method for large AFOM defect reconstruction, and assess its functional results.
A retrospective study of patients who received large AFOM defect reconstruction with free flaps was conducted. There was a cohort of patients who were treated using the novel individualized flap design method and a cohort without flap design. Functional outcomes were evaluated with appropriate scales. Outcomes were analyzed, and a p-value |
| doi_str_mv | 10.1016/j.jcms.2023.08.006 |
| format | Article |
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A retrospective study of patients who received large AFOM defect reconstruction with free flaps was conducted. There was a cohort of patients who were treated using the novel individualized flap design method and a cohort without flap design. Functional outcomes were evaluated with appropriate scales. Outcomes were analyzed, and a p-value <0.05 was considered significant.
22 patients received the individualized flap design, while 21 patients were treated without a special flap design. All flaps survived. All free flaps harvested with the novel individualized flap design method better matched AFOM defects. Relative to patients without flap design, patients in the novel individualized flap design group showed significant improvement in speech intelligibility (p = 0.036) and swallowing function (p = 0.019).
Within the limitation of the study it seems that large AFOM defect reconstruction with the novel individualized flap design method can not only cover and close the wound to avoid oral-neck fistulae, but also maintains tongue mobility to achieve better functional outcomes than in patients without flap design.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2023.08.006</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Anterior floor of mouth ; Functional ; Large defects ; Novel individualized flap design method ; Tongue mobility</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2023-09, Vol.51 (9), p.574-579</ispartof><rights>2023 European Association for Cranio-Maxillo-Facial Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c284t-b602ab0bae66690f39fd027c64f6a56a6417ce22f74762754cad91e001f141843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcms.2023.08.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids></links><search><creatorcontrib>Liu, Min-Da</creatorcontrib><creatorcontrib>Liu, Ding-Zhuo</creatorcontrib><creatorcontrib>Al-Aroomi, Maged Ali</creatorcontrib><creatorcontrib>Xiong, Jian-Jun</creatorcontrib><creatorcontrib>Liu, Sheng</creatorcontrib><creatorcontrib>Sun, Chang-Fu</creatorcontrib><creatorcontrib>Liu, Fa-Yu</creatorcontrib><title>Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method</title><title>Journal of cranio-maxillo-facial surgery</title><description>The purpose of this study was to introduce a novel individualized flap design method for large anterior floor of the mouth (AFOM) defect reconstruction, review experience with the use of this flap design method for large AFOM defect reconstruction, and assess its functional results.
A retrospective study of patients who received large AFOM defect reconstruction with free flaps was conducted. There was a cohort of patients who were treated using the novel individualized flap design method and a cohort without flap design. Functional outcomes were evaluated with appropriate scales. Outcomes were analyzed, and a p-value <0.05 was considered significant.
22 patients received the individualized flap design, while 21 patients were treated without a special flap design. All flaps survived. All free flaps harvested with the novel individualized flap design method better matched AFOM defects. Relative to patients without flap design, patients in the novel individualized flap design group showed significant improvement in speech intelligibility (p = 0.036) and swallowing function (p = 0.019).
Within the limitation of the study it seems that large AFOM defect reconstruction with the novel individualized flap design method can not only cover and close the wound to avoid oral-neck fistulae, but also maintains tongue mobility to achieve better functional outcomes than in patients without flap design.</description><subject>Anterior floor of mouth</subject><subject>Functional</subject><subject>Large defects</subject><subject>Novel individualized flap design method</subject><subject>Tongue mobility</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoso-PkHPOXopXWSzaYpeBHxCwRB9ByyyWTN0iZr0q7orzfrevYyM8y87wvzVNU5hYYCFZerZmWG3DBgswZkAyD2qiMqW1lzSrv9MgOFek4lO6yOc15BUYDsjqrvFzQx5DFNZvQxkOhIr9MSiUWHZszbhQ4jJh8TcX0stWyGOI3v5NOX4hJiOeh1JlP2YUk0CXGDPfHB-o23k-79N9pfSQnNfhnIgON7tKfVgdN9xrO_flK93d2-3jzUT8_3jzfXT7Vhko_1QgDTC1hoFEJ04Gads8BaI7gTei604LQ1yJhreStYO-dG244iAHWUU8lnJ9XFLned4seEeVSDzwb7XgeMU1ZMznkn2g5mRcp2UpNizgmdWic_6PSlKKgtaLVSW9BqC1qBVAVjMV3tTFie2HhMKhuPwaD1qSBUNvr_7D_8IIik</recordid><startdate>202309</startdate><enddate>202309</enddate><creator>Liu, Min-Da</creator><creator>Liu, Ding-Zhuo</creator><creator>Al-Aroomi, Maged Ali</creator><creator>Xiong, Jian-Jun</creator><creator>Liu, Sheng</creator><creator>Sun, Chang-Fu</creator><creator>Liu, Fa-Yu</creator><general>Elsevier Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202309</creationdate><title>Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method</title><author>Liu, Min-Da ; Liu, Ding-Zhuo ; Al-Aroomi, Maged Ali ; Xiong, Jian-Jun ; Liu, Sheng ; Sun, Chang-Fu ; Liu, Fa-Yu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c284t-b602ab0bae66690f39fd027c64f6a56a6417ce22f74762754cad91e001f141843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anterior floor of mouth</topic><topic>Functional</topic><topic>Large defects</topic><topic>Novel individualized flap design method</topic><topic>Tongue mobility</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Min-Da</creatorcontrib><creatorcontrib>Liu, Ding-Zhuo</creatorcontrib><creatorcontrib>Al-Aroomi, Maged Ali</creatorcontrib><creatorcontrib>Xiong, Jian-Jun</creatorcontrib><creatorcontrib>Liu, Sheng</creatorcontrib><creatorcontrib>Sun, Chang-Fu</creatorcontrib><creatorcontrib>Liu, Fa-Yu</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Min-Da</au><au>Liu, Ding-Zhuo</au><au>Al-Aroomi, Maged Ali</au><au>Xiong, Jian-Jun</au><au>Liu, Sheng</au><au>Sun, Chang-Fu</au><au>Liu, Fa-Yu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><date>2023-09</date><risdate>2023</risdate><volume>51</volume><issue>9</issue><spage>574</spage><epage>579</epage><pages>574-579</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>The purpose of this study was to introduce a novel individualized flap design method for large anterior floor of the mouth (AFOM) defect reconstruction, review experience with the use of this flap design method for large AFOM defect reconstruction, and assess its functional results.
A retrospective study of patients who received large AFOM defect reconstruction with free flaps was conducted. There was a cohort of patients who were treated using the novel individualized flap design method and a cohort without flap design. Functional outcomes were evaluated with appropriate scales. Outcomes were analyzed, and a p-value <0.05 was considered significant.
22 patients received the individualized flap design, while 21 patients were treated without a special flap design. All flaps survived. All free flaps harvested with the novel individualized flap design method better matched AFOM defects. Relative to patients without flap design, patients in the novel individualized flap design group showed significant improvement in speech intelligibility (p = 0.036) and swallowing function (p = 0.019).
Within the limitation of the study it seems that large AFOM defect reconstruction with the novel individualized flap design method can not only cover and close the wound to avoid oral-neck fistulae, but also maintains tongue mobility to achieve better functional outcomes than in patients without flap design.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.jcms.2023.08.006</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of cranio-maxillo-facial surgery, 2023-09, Vol.51 (9), p.574-579 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Anterior floor of mouth Functional Large defects Novel individualized flap design method Tongue mobility |
| title | Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method |
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