Sensory recovery of myomucosal flap oral cavity reconstructions

Massarelli, Olindo; Vaira, Luigi Angelo; Biglio, Andrea; Gobbi, Roberta; Orabona, Giovanni Dell’Aversana; Riu, Giacomo De

doi:10.1002/hed.25000

Cited by 33 publications

(38 citation statements)

References 23 publications

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“…The tests we used in this study were created on the basis of already validated and widely used olfactory and gustatory evaluation protocols. [9][10][11][12][13][14][15][16] The scoring system was established so that the results of the two tests would be comparable.…”

Section: Discussionmentioning

confidence: 99%

“…The bitter solution comes always the last. 9,10 The overall test score was obtained by the average of the values reported for each of the primary tastes. The scoring system is reported in Table 3.…”

Section: Patient-administrated Olfactory and Gustatory Testmentioning

confidence: 99%

“…As regards the gustatory function assessment, the primary taste solutions were identical to those used in the telephone test and already proposed by other authors. 9,10 As the only variation, at the hospital, deionized water was used as solvent and control instead of normal drinking water. One at a time, approximately 1 mL of each basic flavor was put on the patient's tongue with a cotton swab, taking care to test the bitter last.…”

Section: Operator-administered Olfactory and Gustatory Testmentioning

confidence: 99%

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Validation of a self‐administered olfactory and gustatory test for the remotely evaluation of COVID‐19 patients in home quarantine

Vaira

Salzano²,

Petrocelli³

et al. 2020

Head & Neck

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125

168

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Background: Chemosensitive disorders are very frequent in the early stages of COVID-19 and in paucisymptomatic cases. These patients are typically placed in home quarantine. This study has the aim of validating a new olfactory and gustatory objective evaluation test in these patients. Methods: Thirty-three home-quarantined COVID-19 patients have undergone a self-administered chemosensitive test the day before the control swab. On this occasion, the patients underwent operator-administered already validated tests. The results were finally compared. Results: The differences between the results of the two tests were not significant for both the olfaction (P =.201) and the taste (P =.180). Conclusion:The olfactory and gustatory evaluation by self-administered test can be considered a valid tool, fundamental for obtaining objective qualitative and quantitative data on the extent of chemosensitive disorders in homequarantined COVID-19 patients.

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Section: Discussionmentioning

confidence: 99%

Section: Patient-administrated Olfactory and Gustatory Testmentioning

confidence: 99%

Section: Operator-administered Olfactory and Gustatory Testmentioning

confidence: 99%

See 1 more Smart Citation

Validation of a self‐administered olfactory and gustatory test for the remotely evaluation of COVID‐19 patients in home quarantine

Vaira

Salzano²,

Petrocelli³

et al. 2020

Head & Neck

Self Cite

125

168

View full text Add to dashboard Cite

show abstract

“…Transected nerves show little regenerative ability, explaining the absence of sensory recovery. In free-flap reconstruction, this recovery relies mostly on axonal growth in the flap periphery, and nerve anastomosis shows contradictory results [19,20].…”

Section: Discussionmentioning

confidence: 99%

Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study

Groot

Merkx

Hamann

et al. 2019

Support Care Cancer

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Purpose The purpose of this study was to observe the impact of oral oncological treatment, including the recovery of several tongue functions (force, mobility, and sensory functions), and to determine the influence of these functions on masticatory performance. Materials and methods Masticatory performance and tongue force, mobility, and sensory functions were determined in 123 patients with oral cavity cancer. The assessments were performed 4 weeks before treatment and 4 to 6 weeks, 6 months, 1 year, and 5 years after treatment. Generalized estimation equations and mixed model analyses were performed, correcting for previously identified factors in the same population. Results A significant deterioration in tongue mobility and sensory function was observed in patients with mandible and tongue and/ or floor-of-mouth tumors. Better tongue force and sensory function (thermal and tactile) positively influenced masticatory performance, and this effect was stronger where fewer occlusal units were present. The effect of both the tongue force and maximum bite force was weaker in dentate patients in comparison with patients with full dentures. A web-based application was developed to enable readers to explore our results and provide insight into the coherence between the found factors in the mixed model. Conclusions Tongue function deteriorates after oral oncological treatment, without statistically significant recovery. Adequate bite and tongue forces are especially important for patients with a poor prosthetic state. Patients with sensory tongue function deficits especially benefit from the presence of more occluding pairs.

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“…A validated discrimination test was carried out to assess taste function, investigating the discriminative capability for four primary tastes. 20 The evaluation methodology and scoring system of the two olfactory and gustatory psychophysical tests have been previously described in detail. 12,13,18 The two tests provide standardised olfactory and gustatory scores, on the same severity scale, that can be analysed together.…”

Section: Methodsmentioning

confidence: 99%

Smell and taste recovery in coronavirus disease 2019 patients: a 60-day objective and prospective study

et al. 2020

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Background The long-term recovery rate of chemosensitive functions in coronavirus disease 2019 patients has not yet been determined. Method A multicentre prospective study on 138 coronavirus disease 2019 patients was conducted. Olfactory and gustatory functions were prospectively evaluated for 60 days. Results Within the first 4 days of coronavirus disease 2019, 84.8 per cent of patients had chemosensitive dysfunction that gradually improved over the observation period. The most significant increase in chemosensitive scores occurred in the first 10 days for taste and between 10 and 20 days for smell. At the end of the observation period (60 days after symptom onset), 7.2 per cent of the patients still had severe dysfunctions. The risk of developing a long-lasting disorder becomes significant at 10 days for taste (odds ratio = 40.2, 95 per cent confidence interval = 2.204–733.2, p = 0.013) and 20 days for smell (odds ratio = 58.5, 95 per cent confidence interval = 3.278–1043.5, p = 0.005). Conclusion Chemosensitive disturbances persisted in 7.2 per cent of patients 60 days after clinical onset. Specific therapies should be initiated in patients with severe olfactory and gustatory disturbances 20 days after disease onset.

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Sensory recovery of myomucosal flap oral cavity reconstructions

Abstract: Myomucosal flap reconstruction demonstrated a high degree of sensory recovery.

Cited by 33 publications

References 23 publications

Validation of a self‐administered olfactory and gustatory test for the remotely evaluation of COVID‐19 patients in home quarantine

Validation of a self‐administered olfactory and gustatory test for the remotely evaluation of COVID‐19 patients in home quarantine

Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study

Smell and taste recovery in coronavirus disease 2019 patients: a 60-day objective and prospective study

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