Tongue Reconstruction with Buccinator Myomucosal Island Flaps: Technical Considerations, Oncologic Safety, Functional Outcomes and QoL Assessment—A Retrospective Observational Study
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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N (%) | |
---|---|
Age | |
<55 | 16 (30.8%) |
56–74 | 29 (55.8%) |
>75 | 7 (13.4%) |
Gender | |
Male | 37 (71.2%) |
Female | 15 (28.8%) |
Etiology | |
Squamocellular carcinoma | 51 (98.1%) |
Adenoid-cystic carcinoma | 1 (1.9%) |
T Stage | |
T1 | 5 (9.6%) |
T2 | 32 (61.5%) |
T3 | 12 (23.1%) |
T4 | 3 (5.8%) |
N stage | |
N0 | 36 (69.2%) |
N1 | 1 (1.9%) |
N2 | 11 (21.1%) |
N3 | 4 (9.6%) |
Radiotherapy | |
Yes | 13 (25%) |
No | 39 (75%) |
Type of reconstruction 1 | |
FAMMIF | 14 (26.9%) |
t-FAMMIF | 27 (51.9%) |
a-FAMMIF | 3 (5.8%) |
BAMMIF | 8 (15.4%) |
Ipsilateral myomucosal flap | 50 (96.2%) |
Contralateral myomucosal flap | 2 (3.8%) |
Mean flap size (cm) | 6.2 × 5.5 |
Mean harvesting time (minutes) | 49.4 min |
Type of neck dissection | |
Unilateral | |
Selective | 28 (53.9%) |
Modified radical | 4 (7.7%) |
Bilateral | |
Selective + selective | 18 (34.6%) |
Selective + modified radical | 2 (3.8%) |
Modified radical + modified radical | 0 (0%) |
Soft Touch | Tactile Threshold (g/mm2) | Two-Point Discrimination Static/Dynamic (mm) | Prick Test | Pain Threshold (g/mm2) | Sharp/Smooth Discrimination | Hot/Cold Discrimination | |||
---|---|---|---|---|---|---|---|---|---|
Flap | Contralateral/ Native Mucosa | Flap | Contralateral/ Native Mucosa | Flap | Contralateral/ Native Mucosa | ||||
96.1% | 0.664 ± 0.435 | 0.358 ± 0.008 | 13.7 ± 3.8/10.4 ± 4.1 | 6.1 ± 1.5/3.4 ± 1.2 | 96.1% | 647.62 ± 176.39 | 188.58 ± 181.39 | 45 86.5% | 44 84.6% |
Statistical Analysis | Wilcoxon Test Z = −4.862 p < 0.001 | Wilcoxon Test Static: Z = −6.282 p = 0.000 Dynamic: Z = −6.298 p < 0.001 | Wilcoxon Test Z = −5.960 p < 0.001 |
Quality of Life | Physical Well-Being (0–28) | Social/Family Well-Being (0–28) | Emotional Well-Being (0–24) | Functional Well-Being (0–28) | H&N Cancer Sub Scale (0–40) |
---|---|---|---|---|---|
Mean ± SD | 24.5 ± 3.3 | 25.8 ± 2 | 20.3 ± 1.8 | 25 ± 2.6 | 37.25 ± 2.2 |
Mouth Opening (1–9) | Commissure Symmetry (1–9) | Inner Vestibule (1–9) | Cheek Lining (1–9) | Esthetics (1–9) | |
---|---|---|---|---|---|
Mean ± SD | 7.7 ± 1.2 | 8.1 ± 0.8 | 7.8 ± 1 | 8.2 ± 0.7 | 8.2 ± 0.8 |
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Massarelli, O.; Vaira, L.A.; Crimi, S.; Salzano, G.; Latini, L.; Bianchi, A.; Gennaro, P.; De Riu, G. Tongue Reconstruction with Buccinator Myomucosal Island Flaps: Technical Considerations, Oncologic Safety, Functional Outcomes and QoL Assessment—A Retrospective Observational Study. J. Pers. Med. 2023, 13, 879. https://doi.org/10.3390/jpm13060879
Massarelli O, Vaira LA, Crimi S, Salzano G, Latini L, Bianchi A, Gennaro P, De Riu G. Tongue Reconstruction with Buccinator Myomucosal Island Flaps: Technical Considerations, Oncologic Safety, Functional Outcomes and QoL Assessment—A Retrospective Observational Study. Journal of Personalized Medicine. 2023; 13(6):879. https://doi.org/10.3390/jpm13060879
Chicago/Turabian StyleMassarelli, Olindo, Luigi Angelo Vaira, Salvatore Crimi, Giovanni Salzano, Linda Latini, Alberto Bianchi, Paolo Gennaro, and Giacomo De Riu. 2023. "Tongue Reconstruction with Buccinator Myomucosal Island Flaps: Technical Considerations, Oncologic Safety, Functional Outcomes and QoL Assessment—A Retrospective Observational Study" Journal of Personalized Medicine 13, no. 6: 879. https://doi.org/10.3390/jpm13060879
APA StyleMassarelli, O., Vaira, L. A., Crimi, S., Salzano, G., Latini, L., Bianchi, A., Gennaro, P., & De Riu, G. (2023). Tongue Reconstruction with Buccinator Myomucosal Island Flaps: Technical Considerations, Oncologic Safety, Functional Outcomes and QoL Assessment—A Retrospective Observational Study. Journal of Personalized Medicine, 13(6), 879. https://doi.org/10.3390/jpm13060879