NDLI: Magnitude of Myocutaneous Flaps and Factors Associated With Loss of Volume in Oral Cancer Reconstructive Surgery.

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Magnitude of Myocutaneous Flaps and Factors Associated With Loss of Volume in Oral Cancer Reconstructive Surgery.

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Magnitude of Myocutaneous Flaps and Factors Associated With Loss of Volume in Oral Cancer Reconstructive Surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sakamoto, Yuki Yanamoto, Souichi Ota, Yoshihide Furudoi, Shungo Komori, Takahide Umeda, Masahiro
Description	Author Affiliation: Sakamoto Y ( Assistant Professor, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. Electronic address: yukiyama@nagasaki-u.ac.jp.); Yanamoto S ( Senior Assistant, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.); Ota Y ( Professor, Department of Oral and Maxillofacial Surgery, Tokai University School of Medicine, Kanagawa, Japan.); Furudoi S ( Associtate Professor, Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.); Komori T ( Professor, Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.); Umeda M ( Professor, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.)
Abstract	PURPOSE: Myocutaneous flaps are often used to repair oral and maxillofacial defects after surgery for oral cancer; however, their volume decreases during the postoperative period. To facilitate treatment planning, the authors measured the extent of such postoperative flap volume loss and identified associated factors in patients who underwent oral reconstruction with myocutaneous flaps. MATERIALS AND METHODS: The authors designed and performed a retrospective observational study of patients who underwent reconstructive procedures involving rectus abdominal myocutaneous (RAM) or pectoralis major myocutaneous (PMMC) flaps at Tokai University Hospital, Kobe University Hospital, or Nagasaki University Hospital from April 2009 through March 2013. Flap type and other clinical variables were examined as potential predictors of flap loss. The primary outcome was flap loss at 6 months postoperatively. Correlations between each potential predictor and the primary outcome were examined using multiple regression analysis. RESULTS: The subjects were 75 patients whose oral defects were reconstructed with RAM flaps (n = 57) or PMMC flaps (n = 18). RAM flaps exhibited a mean volume shrinkage of 22% at 6 months postoperatively, which was less than the 27.5% displayed by the PMMC flaps, but the difference was not important. Renal failure, previous surgery of the oral region, postoperative radiotherapy, and postoperative serum albumin level were found to be meaningful risk factors for postoperative flap volume loss. CONCLUSION: The results of this study suggest that larger flaps should be used in patients who possess these risk factors or are scheduled to undergo postoperative radiotherapy. Future studies should examine the utility of postoperative nutritional management for preventing flap volume loss.
File Format	HTM / HTML
ISSN	02782391
Issue Number	3
Volume Number	74
e-ISSN	15315053
Journal	Journal of Oral and Maxillofacial Surgery
Language	English
Publisher	Elsevier
Publisher Date	2016-03-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medicine__semicolon__otorhinolaryngology__semicolon__surgery Mouth Neoplasms Surgery Mouth Myocutaneous Flap Transplantation Reconstructive Surgical Procedures Methods Adolescent Adult Aged Aged, 80 And Over Child Female Follow-up Studies Free Tissue Flaps Graft Survival Humans Male Middle Aged Pathology Organ Size Pectoralis Muscles Radiotherapy, Adjuvant Rectus Abdominis Renal Insufficiency Complications Retrospective Studies Risk Factors Serum Albumin Analysis Transplant Donor Site Treatment Outcome Young Adult Journal Article Observational Study
Content Type	Text
Resource Type	Article
Subject	Oral Surgery Otorhinolaryngology Surgery

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