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Article: “Sushi roll” technique for precise total tongue functional reconstruction using a pre-sutured femoral anterolateral myocutaneous flap

Title“Sushi roll” technique for precise total tongue functional reconstruction using a pre-sutured femoral anterolateral myocutaneous flap
Authors
KeywordsTongue functional reconstruction
Femoral anterolateral myocutaneous
Subtotal or total glossectomy defects
Quality of life
Tongue cancer
Issue Date2020
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/oraloncology
Citation
Oral Oncology, 2020, v. 110, p. article no. 104866 How to Cite?
AbstractObjectives: Reconstruction of the total tongue after cancer resection remains one of the challenges in head and neck surgery. Inadequate reconstruction after subtotal or total glossectomy defects leads to poor quality of life. The aim of this study was to explore an economical, practical and effective flap design for functional tongue reconstruction. Material and methods: Sixty patients were randomly divided into two groups, namely, a “Sushi roll” technique group (30 patients) and a conventional surgery group (30 patients). Then, the patients underwent total or subtotal tongue reconstruction. Swallowing function, speech intelligibility, cosmetic results, and quality of life were assessed with the appropriate scales. Outcomes were analysed, and a p-value <0.05 was considered significant. Results: The perioperative recovery of the “Sushi roll” group was superior to that of the conventional group. Relative to patients in the conventional group, patients in the “Sushi roll” group showed significantly improved speech intelligibility (p = 0.025), cosmetic results (p < 0.001) and swallowing function (p < 0.001). Conclusion: The innovative “Sushi roll” anterolateral thigh myocutaneous flap approach for total tongue reconstruction creates a free neotongue tip with adequate volume and protuberance and causes minimal damage to the donor site, producing acceptable swallowing function and speech intelligibility.
Persistent Identifierhttp://hdl.handle.net/10722/302041
ISSN
2023 Impact Factor: 4.0
2023 SCImago Journal Rankings: 1.257
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhou, X-
dc.contributor.authorHe, ZJ-
dc.contributor.authorSu, YX-
dc.contributor.authorZhang, S-
dc.contributor.authorGong, ZJ-
dc.contributor.authorWu, HJ-
dc.date.accessioned2021-08-21T03:30:43Z-
dc.date.available2021-08-21T03:30:43Z-
dc.date.issued2020-
dc.identifier.citationOral Oncology, 2020, v. 110, p. article no. 104866-
dc.identifier.issn1368-8375-
dc.identifier.urihttp://hdl.handle.net/10722/302041-
dc.description.abstractObjectives: Reconstruction of the total tongue after cancer resection remains one of the challenges in head and neck surgery. Inadequate reconstruction after subtotal or total glossectomy defects leads to poor quality of life. The aim of this study was to explore an economical, practical and effective flap design for functional tongue reconstruction. Material and methods: Sixty patients were randomly divided into two groups, namely, a “Sushi roll” technique group (30 patients) and a conventional surgery group (30 patients). Then, the patients underwent total or subtotal tongue reconstruction. Swallowing function, speech intelligibility, cosmetic results, and quality of life were assessed with the appropriate scales. Outcomes were analysed, and a p-value <0.05 was considered significant. Results: The perioperative recovery of the “Sushi roll” group was superior to that of the conventional group. Relative to patients in the conventional group, patients in the “Sushi roll” group showed significantly improved speech intelligibility (p = 0.025), cosmetic results (p < 0.001) and swallowing function (p < 0.001). Conclusion: The innovative “Sushi roll” anterolateral thigh myocutaneous flap approach for total tongue reconstruction creates a free neotongue tip with adequate volume and protuberance and causes minimal damage to the donor site, producing acceptable swallowing function and speech intelligibility.-
dc.languageeng-
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/oraloncology-
dc.relation.ispartofOral Oncology-
dc.subjectTongue functional reconstruction-
dc.subjectFemoral anterolateral myocutaneous-
dc.subjectSubtotal or total glossectomy defects-
dc.subjectQuality of life-
dc.subjectTongue cancer-
dc.title“Sushi roll” technique for precise total tongue functional reconstruction using a pre-sutured femoral anterolateral myocutaneous flap-
dc.typeArticle-
dc.identifier.emailSu, YX: richsu@hku.hk-
dc.identifier.authoritySu, YX=rp01916-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.oraloncology.2020.104866-
dc.identifier.pmid32623343-
dc.identifier.scopuseid_2-s2.0-85087293527-
dc.identifier.hkuros324295-
dc.identifier.volume110-
dc.identifier.spagearticle no. 104866-
dc.identifier.epagearticle no. 104866-
dc.identifier.isiWOS:000584539100016-
dc.publisher.placeUnited Kingdom-

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