An alternative to skin graft for superficial surgical defect in oral cancer surgery

Tirelli, Giancarlo; Tofanelli, Margherita; Piccinato, Alice; Nata, Francesca Boscolo

doi:10.1016/j.bjorl.2020.02.002

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Alternatively, other biological materials can also be used, such as bovine pericardium 76 or other biological matrices of bovine collagen 77 , which can represent a simple and rapid solution for defects of limited thickness. Another type of material that can be used is a matrix of thrombin and fibrinogen which combines repair with the capacity for haemostasis 78 .…”

Section: Discussionmentioning

confidence: 99%

Systematic review of minimally-invasive reconstructive options for oral cavity defects

Calabrese,

Fazio,

Bassani

et al. 2024

Acta Otorhinolaryngol Ital

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SUMMARY The oral cavity is a primary site for malignant neoplasms of the head and neck region. Surgery, with or without adjuvant therapy, offers the highest probability of cure by focusing on radical tumour removal and organ function restoration. Reconstructive options are represented by local and free flaps, while small defects can be managed without reconstruction. For medium-sized defects without bone involvement, local flaps can be a good alternative to free flaps in selected patients. The purposes of this article are to analyse the main minimally-invasive reconstructive techniques in oral cancer surgery through a systematic review of the literature and develop a reconstructive algorithm based on the site and size of the defect. We defined minimally-invasive reconstruction as any reconstructive option not involving flap dissection from the neck or other distant areas from the oral cavity. Options considered include: local myo-mucosal or mucosal flaps (based on the facial or buccal arteries, and palatal flap), Bichat’s fat pad flap, and nasolabial flap. Use of biological or synthetic materials is also described. In selected patients with small to moderate-sized defects, the possibility of reconstruction with local flaps can be a viable option.

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Section: Discussionmentioning

confidence: 99%

Systematic review of minimally-invasive reconstructive options for oral cavity defects

Calabrese,

Fazio,

Bassani

et al. 2024

Acta Otorhinolaryngol Ital

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“…It can lead to a more unattractive cosmetic outcome [ 19 ]. There is an increased risk for donor site morbidity, problems in uptake at the graft site, the need for a second surgery for flap autonomization, and surgical defects until healing, which cause salivary contamination and may cause secondary infection, which may result in graft failure [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Assessment of the Quality of Life in Oral Squamous Cell Carcinoma Patients

Ramalingam,

Ramani

et al. 2024

Cureus

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Background Studies evaluating the quality of life (QoL) among oral cancer patients in the Indian population are scarce. Regular follow-ups and QoL assessment in oral squamous cell carcinoma (OSCC) patients can aid in comprehensive support strategies to improve their QoL outcomes. Aim and objectives This study aimed to assess the QoL of oral cancer patients and correlate the QoL with demographic and treatment parameters. Materials and methods The study included oral cancer patients who had previously reported to the Department of Oral and Maxillofacial Surgery. QoL assessment was done using the EORTC QLQ-C30 and QLQ-HN43 questionnaires before and after treatment. The clinico-demographic details, treatment data, follow-up data, and recorded mean QoL were procured from the patient records in Dental Information Archival Software. Assessment of QoL was done before treatment and at intervals of one month, three months, six months, 12 months, 24 months, and 36 months postoperatively after treatment. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 23 (released 2015; IBM Corp., Armonk, New York, United States). A repeated measures analysis of variance (ANOVA) was utilized for comparing the average QoL scores and frequency of follow-ups across various intervals. Chi-square tests assessed differences in mean QoL among genders, across different sites, and between primary closure and graft placement. The significance was set at a p-value of less than 0.05. Results A total of 90 OSCC patients had reported to the department. A preoperative assessment of QoL was done for 90 (100%) patients. Out of these patients, surgery has been performed on 41 (45%). Twenty-five out of 41 (60%) patients had responded to regular follow-up, and QoL was assessed for these patients. After the immediate postoperative phase, only 12 (48%) had reported after three months. Only six (24%) had a 12-month follow-up, five (20%) had a two-year follow-up, and one (4%) had a three-year follow-up. There was a constant decrease in the number of follow-ups after the treatment of OSCC (p=0.00). Prior to treatment, the mean QoL index was 4.64. Females had a slightly higher preoperative QoL of 4.76 compared to males, with a score of 4.67 (p=0.157). Immediately after the treatment of OSCC, a decline in QoL scores was noted, with a mean score of 4.25 (p=0.32). Patients who underwent primary closure after excision had a mean post-op QoL score of 4.9, while patients who underwent graft placement had a mean score of 4.6 (p=0.157). Conclusion This study highlights the enduring impact of oral cancer on a patient’s quality of life and emphasizes the need for ongoing research to explore specific interventions that can contribute to sustained improvement in QoL. It emphasizes personalized, holistic care approaches for such patients.

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“…① Comparison of clinical symptom scores: symptoms included insomnia, nausea and vomiting, pain, fatigue, and diarrhea and were rated (on a 0-100 scale) by reference to the visual analogue scale (VSA) for pain, with lower scores indicating less symptoms ② Comparison of CR: complications included incision infection, necrosis of skin flap, wound bleeding, and stress ulcer ③ Comparison of UW-QOL scores: the score was rated based on the University of Washington Quality of Life Questionnaire (UW-QOL) of head and neck cancer patients on a scale of 0-100, with lower scores indicating worse quality of life [8][9][10][11] ④ Investigation on factors affecting patients' quality of life, which was carried out by self-designed questionnaire ⑤ Comparison of negative emotion scores of patients after intervention. The scores (on a scale of 0-100) of patients' self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were compared, with higher scores indicating heavier negative emotion [12][13][14][15] 2.6. Statistical Processing.…”

Section: Nursing Interventionmentioning

confidence: 99%

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer

Wang

Dong

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effects of different repair and reconstruction methods combined with psychological intervention on the quality of life and negative emotion of patients with oral cancer. Methods. 180 patients with oral cancer treated in our hospital from January 2018 to January 2020 were randomly divided into group A, group B, and group C, with 60 cases in each group. Group A and group B were repaired with submental island flap and free flap, respectively. Group C was divided into two groups, and group C was treated with routine nursing intervention. Group A and group B received psychological intervention. Clinical symptom scores, complication rate (CR), quality of life (according to the University of Washington quality of life questionnaire, UW-QOL), and negative emotion scores were compared. Results. After intervention, the clinical symptom scores and negative emotion scores of groups A and B were lower than those of group C ( P < 0.001 ), as well as the CR ( P < 0.05 ), and the UW-QOL scores of groups A and B were higher than those of group C ( P < 0.05 ), but no significant differences in these aspects were presented between group A and group B ( P > 0.05 ). The main factors affecting quality of life were swallowing/chewing, language, and saliva in group A; swallowing/chewing, language, and taste in group B; and appearance, swallowing/chewing, emotion, and language in group C. Conclusion. Psychological intervention can improve the mental state of patients with oral cancer after operation, optimize the effect of operation, and improve the quality of life. As the effect of psychological intervention on patients undergoing different repair and reconstruction methods is similar, it should be given according to patients’ actual condition in the clinic.

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An alternative to skin graft for superficial surgical defect in oral cancer surgery

Cited by 5 publications

References 9 publications

Systematic review of minimally-invasive reconstructive options for oral cavity defects

Systematic review of minimally-invasive reconstructive options for oral cavity defects

Longitudinal Assessment of the Quality of Life in Oral Squamous Cell Carcinoma Patients

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer

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