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Article: The contralateral-based submental artery island flap: feasibility and oncological safety in oral cancer-related defect reconstruction.

TitleThe contralateral-based submental artery island flap: feasibility and oncological safety in oral cancer-related defect reconstruction.
Authors
KeywordsContralateral submental artery island flap
Oncological safety
Oral squamous cell carcinoma
Reconstruction
Issue Date30-Aug-2023
PublisherSpringer
Citation
Clinical Oral Investigations, 2023, v. 27, n. 8, p. 4747-4755 How to Cite?
AbstractOBJECTIVES\nMETHODS\nRESULTS\nCONCLUSION\nOncologic risk is a serious concern of submental artery island flaps. Here, we introduce the contralateral-based submental artery island flap (C-SAIF) and demonstrate its feasibility and long-term oncological safety in reconstructing oral cancer-related defects.\nAn anatomical study was performed concentrating on the pedicle length in seven cadavers. Then, a retrospective study was carried out on C-SAIF patients operated on by a single team. The standard surgical technique of C-SAIF was conducted. Outcomes including operative time, length of hospital stay, volume of intraoperative blood loss, and scores of the Multidisciplinary Salivary Gland Society (MSGS) questionnaire were compared with a similar cohort reconstructed with anterolateral thigh free flap (ALTF). In addition, oncological outcomes were evaluated by the 5-year cumulative survival rate between C-SAIF and ALTF patients.\nThe pedicle length of C-SAIF was sufficient for the flap to be extended to the contralateral oral cavity. Fifty-two patients were included in the retrospective study, and nineteen of them underwent reconstruction with C-SAIF. The operative time of C-SAIF was shorter (p = 0.003), and the intraoperative blood loss was less (p = 0.004) than that of ALTF. There was no difference in MSGS scores. The results of survival analysis revealed comparable survival curves for the two groups in terms of overall survival, disease-specific survival, and disease-free survival.\nC-SAIF is a feasible and reliable flap for reconstructing oral cancer-related defects. Moreover, it is an effective island flap to preserve the perforator and pedicle without compromising oncological safety.
Persistent Identifierhttp://hdl.handle.net/10722/337343
ISSN
2023 Impact Factor: 3.1
2023 SCImago Journal Rankings: 0.942
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMa, J-
dc.contributor.authorZhai, X-
dc.contributor.authorHuang, M-
dc.contributor.authorLi, P-
dc.contributor.authorLiang, Y-
dc.contributor.authorOuyang, D-
dc.contributor.authorSu, YX-
dc.contributor.authorYang, WF-
dc.contributor.authorLiao, G-
dc.contributor.authorZhang, S-
dc.date.accessioned2024-03-11T10:20:08Z-
dc.date.available2024-03-11T10:20:08Z-
dc.date.issued2023-08-30-
dc.identifier.citationClinical Oral Investigations, 2023, v. 27, n. 8, p. 4747-4755-
dc.identifier.issn1432-6981-
dc.identifier.urihttp://hdl.handle.net/10722/337343-
dc.description.abstractOBJECTIVES\nMETHODS\nRESULTS\nCONCLUSION\nOncologic risk is a serious concern of submental artery island flaps. Here, we introduce the contralateral-based submental artery island flap (C-SAIF) and demonstrate its feasibility and long-term oncological safety in reconstructing oral cancer-related defects.\nAn anatomical study was performed concentrating on the pedicle length in seven cadavers. Then, a retrospective study was carried out on C-SAIF patients operated on by a single team. The standard surgical technique of C-SAIF was conducted. Outcomes including operative time, length of hospital stay, volume of intraoperative blood loss, and scores of the Multidisciplinary Salivary Gland Society (MSGS) questionnaire were compared with a similar cohort reconstructed with anterolateral thigh free flap (ALTF). In addition, oncological outcomes were evaluated by the 5-year cumulative survival rate between C-SAIF and ALTF patients.\nThe pedicle length of C-SAIF was sufficient for the flap to be extended to the contralateral oral cavity. Fifty-two patients were included in the retrospective study, and nineteen of them underwent reconstruction with C-SAIF. The operative time of C-SAIF was shorter (p = 0.003), and the intraoperative blood loss was less (p = 0.004) than that of ALTF. There was no difference in MSGS scores. The results of survival analysis revealed comparable survival curves for the two groups in terms of overall survival, disease-specific survival, and disease-free survival.\nC-SAIF is a feasible and reliable flap for reconstructing oral cancer-related defects. Moreover, it is an effective island flap to preserve the perforator and pedicle without compromising oncological safety.-
dc.languageeng-
dc.publisherSpringer-
dc.relation.ispartofClinical Oral Investigations-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectContralateral submental artery island flap-
dc.subjectOncological safety-
dc.subjectOral squamous cell carcinoma-
dc.subjectReconstruction-
dc.titleThe contralateral-based submental artery island flap: feasibility and oncological safety in oral cancer-related defect reconstruction.-
dc.typeArticle-
dc.identifier.doi10.1007/s00784-023-05103-1-
dc.identifier.pmid37316642-
dc.identifier.scopuseid_2-s2.0-85161940340-
dc.identifier.volume27-
dc.identifier.issue8-
dc.identifier.spage4747-
dc.identifier.epage4755-
dc.identifier.eissn1436-3771-
dc.identifier.isiWOS:001007650900001-
dc.identifier.issnl1432-6981-

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