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- Publisher Website: 10.1016/j.bjps.2013.12.004
- Scopus: eid_2-s2.0-84896714805
- PMID: 24530059
- WOS: WOS:000332393800021
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Article: Free flap reconstruction after surgical release of oral submucous fibrosis: Long-term maintenance and its clinical implications
Title | Free flap reconstruction after surgical release of oral submucous fibrosis: Long-term maintenance and its clinical implications |
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Authors | |
Keywords | Oral submucous fibrosis Malignant transformation Submucous fibrosis Release Oral cancer |
Issue Date | 2014 |
Citation | Journal of Plastic, Reconstructive and Aesthetic Surgery, 2014, v. 67, n. 3, p. 344-349 How to Cite? |
Abstract | Background and aim Oral submucous fibrosis (OSF) is an insidious disease with progressive limitation of mouth opening and potential malignant change of the oral mucosa. Cancer surveillance is of utmost importance, but it is often limited by severe trismus. Surgical release and free flap reconstruction is effective but its long-term efficacy has not been completely established. This work aims to review our experience in the past 15 years in surgical release of OSF-related trismus followed by free flap reconstruction. Methods Patient's age, gender, smoking history, drinking history and betel-nut consumption history were retrieved. Surgical release and reconstructive procedures were detailed. Inter-incisor distances (IIDs) were measured preoperatively (PO-IID), intra-operatively after maximal release (IO-IID) and during the last follow-up (FU-IID). Subsequent development of oral cancers (oral squamous cell carcinoma, OSCC) and relevant details were documented. Potential predictors of long-term IID gain were analysed. Results A total of 92 patients were included in our study. There was a significant difference (p = 0.000) in PO-IID (13.8 ± 6.6 mm) and FU-IID (27.2 ± 8.8 mm) indicating the long-term efficacy of the release procedure. The mean long-term IID gain was 13.0 ± 7.5 mm. Bilateral coronoidectomy resulted in a greater degree of intra-operative gain in IID (p = 0.025). PO-IID (r = -0.277, p = 0.001) and intra-operative gain in IID (r = 0.198, p = 0.001) were found to be predictive of long-term IID gain. Ten patients (11%) developed OSCC during our study period. Conclusions Aggressive surgical release (with bilateral coronoidectomy if necessary) followed by free flap reconstruction is an effective treatment for OSF-related trismus. Our study has confirmed its long-term efficacy and its important role in cancer surveillance. |
Persistent Identifier | http://hdl.handle.net/10722/230949 |
ISSN | 2023 Impact Factor: 2.0 2023 SCImago Journal Rankings: 0.777 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, Richie Chiu Lung | - |
dc.contributor.author | Wei, Fu Chan | - |
dc.contributor.author | Tsao, Chung Kan | - |
dc.contributor.author | Kao, Huang Kai | - |
dc.contributor.author | Chang, Yang Ming | - |
dc.contributor.author | Tsai, Chi Ying | - |
dc.contributor.author | Chen, Wen Ho | - |
dc.date.accessioned | 2016-09-01T06:07:14Z | - |
dc.date.available | 2016-09-01T06:07:14Z | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | Journal of Plastic, Reconstructive and Aesthetic Surgery, 2014, v. 67, n. 3, p. 344-349 | - |
dc.identifier.issn | 1748-6815 | - |
dc.identifier.uri | http://hdl.handle.net/10722/230949 | - |
dc.description.abstract | Background and aim Oral submucous fibrosis (OSF) is an insidious disease with progressive limitation of mouth opening and potential malignant change of the oral mucosa. Cancer surveillance is of utmost importance, but it is often limited by severe trismus. Surgical release and free flap reconstruction is effective but its long-term efficacy has not been completely established. This work aims to review our experience in the past 15 years in surgical release of OSF-related trismus followed by free flap reconstruction. Methods Patient's age, gender, smoking history, drinking history and betel-nut consumption history were retrieved. Surgical release and reconstructive procedures were detailed. Inter-incisor distances (IIDs) were measured preoperatively (PO-IID), intra-operatively after maximal release (IO-IID) and during the last follow-up (FU-IID). Subsequent development of oral cancers (oral squamous cell carcinoma, OSCC) and relevant details were documented. Potential predictors of long-term IID gain were analysed. Results A total of 92 patients were included in our study. There was a significant difference (p = 0.000) in PO-IID (13.8 ± 6.6 mm) and FU-IID (27.2 ± 8.8 mm) indicating the long-term efficacy of the release procedure. The mean long-term IID gain was 13.0 ± 7.5 mm. Bilateral coronoidectomy resulted in a greater degree of intra-operative gain in IID (p = 0.025). PO-IID (r = -0.277, p = 0.001) and intra-operative gain in IID (r = 0.198, p = 0.001) were found to be predictive of long-term IID gain. Ten patients (11%) developed OSCC during our study period. Conclusions Aggressive surgical release (with bilateral coronoidectomy if necessary) followed by free flap reconstruction is an effective treatment for OSF-related trismus. Our study has confirmed its long-term efficacy and its important role in cancer surveillance. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Plastic, Reconstructive and Aesthetic Surgery | - |
dc.subject | Oral submucous fibrosis | - |
dc.subject | Malignant transformation | - |
dc.subject | Submucous fibrosis | - |
dc.subject | Release | - |
dc.subject | Oral cancer | - |
dc.title | Free flap reconstruction after surgical release of oral submucous fibrosis: Long-term maintenance and its clinical implications | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.bjps.2013.12.004 | - |
dc.identifier.pmid | 24530059 | - |
dc.identifier.scopus | eid_2-s2.0-84896714805 | - |
dc.identifier.volume | 67 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 344 | - |
dc.identifier.epage | 349 | - |
dc.identifier.eissn | 1878-0539 | - |
dc.identifier.isi | WOS:000332393800021 | - |
dc.identifier.issnl | 1748-6815 | - |