Morbidity Associated With Oral Mucosa Harvest for Urological Reconstruction: An Overview

Markiewicz, Michael R.; DeSantis, James L.; Margarone, Joseph E.; Pogrel, M. Anthony; Chuang, Sung-Kiang

doi:10.1016/j.joms.2007.11.023

Cited by 83 publications

(57 citation statements)

References 47 publications

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“…In some studies intraoral contractures have been detected in the long-term. [7] In this study, intraoral contracture did not developed in any one of our patients.…”

Section: Discussionmentioning

confidence: 40%

“…[5,6] In some studies where labial, and buccal mucosal grafts were compared, harvesting buccal mucosa has been associated with lesser morbidity. [6,7] Opinions about dimensions, shape, and the closure or non-closure of the defect formed are still controversial. In a randomized prospective study performed by Rourke et al [2] , the investigators advocated that non-closure of the defect formed by graft will have favorable effects on relief of early postoperative pain, the time to the achievement of full mouth opening, and return to normal preoperative diet.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of uni-and bilateral buccal mucosal harvesting in terms of oral morbidity

Bozkurt¹,

Yalçınkaya

Sertçelik

et al. 2013

Turkish Journal of Urology

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Objective: To evaluate the intraoral morbidity associated with uni-or bilateral buccal mucosa graft harvesting in the treatment of urethral stricture. Material and methods:Forty-two men with anterior urethral stricture who were treated with dorsal onlay buccal mucosal graft urethroplasty were enrolled in this study. The graft was harvested from both cheeks in patients with a stricture length of ≥7 cm and from one cheek, if the stricture length was <7 cm. The postoperative pain scores, the time required both to return to a regular diet, and also to achieve full mouth opening, intrtaoral numbness and the salivary changes were compared between two groups. Results:The bilateral buccal mucosal graft harvest group was disadvantaged in terms of the 7 th day pain score, the time required both to return to a regular diet also to achieve full mouth opening (p<0.05). No significant intergroup differences were found in the terms of salivary changes and intraoral numbness. Conclusion:Although, intraoral morbidity of bilateral buccal mucosa graft harvesting is more marked than that of the unilateral harvesting, in the short term, it is well tolerated by the patients in the long term.

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“…In some studies intraoral contractures have been detected in the long-term. [7] In this study, intraoral contracture did not developed in any one of our patients.…”

Section: Discussionmentioning

confidence: 40%

Section: Discussionmentioning

confidence: 99%

Comparison of uni-and bilateral buccal mucosal harvesting in terms of oral morbidity

Bozkurt¹,

Yalçınkaya

Sertçelik

et al. 2013

Turkish Journal of Urology

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“…Besides it is resistant to microbial agents, and highly histocompatible with the urethral mucosa. [7] In many studies which evaluated complications of buccal mucosa, complications were related to the graft size, shape, open-wet or closed (occlusive) dressing of the graft wound, and graft harvesting site. Graft harvesting sites include buccal mucosa, mandibular alveolar region, lower lip, and lingual mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Potential graft harvesting site complications include bleeding, postoperative infection, pain, swelling, salivary duct disorders, restricted mouth opening, scar formation, contracture, and loss of sensation due to nerve injury. [7,11,12] Following buccal mucosa graft harvesting, bleeding is seen in 1-5% of the patients. [7,8] In a study evaluating 169 patients including pediatric age group, higher (21%) rate of bleeding was reported.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] Despite such a preferable method, following graft harvesting, intraoral bleeding, pain, and swelling, salivary duct injury, restricted oral opening, esthetic problems secondary to scar formation, sensory changes due to nerve injury, and intraoral numbness have been reported. [7,8] In this study, in patients in whom we used BMG, we evaluated post-grafting complications which might effect quality of life of patients who underwent augmentation urethroplasty with the indication of anterior urethral stricture.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of intraoral complications of buccal mucosa graft in augmentation urethroplasty

Akyüz

Güneş

Koca

et al. 2014

Turkish Journal of Urology

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Objective: To evaluate intraoral complications of buccal mucosa grafts harvested from one cheek, and used in augmentation urethroplasty. Material and methods:Twenty-one patients with anterior urethral strictures were included in our study. In twelve patients, dorsal onlay, in five patients ventral onlay and in four patients lateral onlay procedures were applied. Average length of buccal mucosa graft from one cheek was 5.2 cm (3-8 cm). In all graft harvesting patients, bleeding in graft side, swelling, pain intensity of oral or perineal area, analgesic use, transition time to normal diet, slurred speech, loss of sensation, and patients' opinions about oral mucosa regrafting using this technique were evaluated using nine-item questionnaire forms.Results: Eighteen (85.7%) of our patients had mild pain, 13 (61.9%) had mild intraoral swelling, none of our patients had oral bleeding that needed extra procedure and all of our patients were observed to start off their normal diet in the first 3 days. Twelve (57.1%) of our patients needed analgesic agents after the operation while 14 (66.7%) of them have remarked that perineal incision was more painful. Twenty (95.3%) of our patients stated that they could go under the same procedure again. None of our patients had speech disorders or intraoral numbness. Conclusion:Even though buccal mucosal grafting used in augmentation urethroplasty is not a completely painless procedure, buccal mucosa graft is an ideal source of allograft in terms of safe and easy obtainance and improved patient tolerance.

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Anatomy of the clitoris and its impact on neophalloplasty (metoidioplasty) in female transgenders

Stojanovic

Djordjević

2015

Clinical Anatomy

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The current management of female to male transgender surgery is based on the advances in neophalloplasty, perioperative care and the knowledge of the female genital anatomy, as well as the changes that occur to this anatomy with preoperative hormonal changes in transgender population. Since the clitoris plays the main role in female sexual satisfaction, its impact on the outcome in female to male transgender surgery is predictable. Although female genital anatomy was poorly described in majority of anatomical textbooks, recent studies have provided a better insight in important details such as neurovascular supply, ligaments, body configuration, and relationship with urethral/vaginal complex. This article aims to review current state of knowledge of the clitoral anatomy as well its impact on clitoral reconstruction in female to male sex reassignment surgery.

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Morbidity Associated With Oral Mucosa Harvest for Urological Reconstruction: An Overview

Cited by 83 publications

References 47 publications

Comparison of uni-and bilateral buccal mucosal harvesting in terms of oral morbidity

Comparison of uni-and bilateral buccal mucosal harvesting in terms of oral morbidity

Evaluation of intraoral complications of buccal mucosa graft in augmentation urethroplasty

Anatomy of the clitoris and its impact on neophalloplasty (metoidioplasty) in female transgenders

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