Oral complications after buccal mucosal graft harvest for urethroplasty

Abstract

be contacted; they had had 31 operations. Soon after surgery (the first 48 h), 22 (73%) of the patients had little or no oral pain; 70% and 90% of the patients were able to eat and drink, respectively; 59% complained of numbness and 75% complained of tightness of the mouth. At discharge 6 days after surgery 90% of patients had little or no oral pain and all were able to eat and drink, but 10% had moderate-to-severe oral pain, 39% had oral numbness, and 52% had tightness of the mouth. At the time of interview, 16% of patients had oral numbness (mean duration 13.6 months) and 32% had tightness of the mouth (mean duration 20.9 months). In answer to the question of whether they would have their cheek mucosa harvested again if required, 74% responded 'yes', 3% 'no', and 23% had mixed feelings. CONCLUSIONSBMG harvesting is a good operation, as most patients were satisfied, but it is not without long-term complications and patients should be adequately informed.

Oral mucosa grafts for urethral reconstruction

“…[3] The period from the late 1990s to the present times has seen more articles focusing on donor site morbidity in cases of oral mucosal grafts and its implications. The higher prevalence of donor site complications seen in recent reports [5,[28][29][30][31][32] contrasts with the findings of earlier workers [1] probably due to greater attention on the complications following urethroplasty than on the potential complications associated with harvesting oral mucosal graft. There are also studies comparing postoperative morbidities at different intraoral sites, the latest site studied being the lateral surface of the tongue.…”

“…Tolstunov and Pogrel [23] 1996 Wessells and McAninch [24] 1996 Lopez et al [25] 1996 Iizuka et al [26] 1997 Eppley et al [1] 1998 Filipas et al [3] Long-term suitability after exposure to urine 2003 Dublin and Stewart [28] Donor site morbidity and its implications 2004 Fichtner et al [29] 2004…”

“…[5,31] Up to 57% of the cases seen by Dublin and Stewart developed numbness after surgery. [28] Neurosensory deficit of the long buccal and mental nerves could be explained by individual variations in the location and type of branching of these two nerves; for injury could occur to the long buccal nerve if the incision extends too far posteriorly and inferiorly. Similarly the mental nerve could be damaged if the incision is extended too far anteriorly.…”

Outcome of Dorsal Onlay Buccal Mucosa Substitution Urethroplasty in Long Strictures of Anterior Urethra

“…In addition buccal mucosa grafts are resistant to infectious skin conditions such as Balanitis Xerotica Obliterans (BXO). Oral complications after buccal mucosal graft harvest for urethroplasty are infrequent and mild in nature [7].…”

Are Bone Allografts Safe and Effective for Today’s Dental Practitioner?

“…Favorably, autografts possess osteogenic properties and no immunogenic issues [1]; however, there are disadvantages. There can be patient pain and morbidity at the harvest site [6][7][8][9][10] as well as insufficient usable graft material procured due to donor site atrophy or an underestimate of availability. The associated costs and time involved with donor site surgery and resultant complications may be significant.…”