The Use of Submental Local Flap and Radial Free Flap for the Reconstruction of Defects in Patients With Oral Cancer

Кропотов, М. А.; Соболевский, В. А.; Лысов, Андрей А.; Яковлева, Л. П.; Khodos, A. V.

doi:10.18027/2224-5057-2018-8-3-39-48

Cited by 5 publications

(1 citation statement)

References 39 publications

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“…Observation Criteria. ① Comparison of clinical symptom scores: symptoms included insomnia, nausea and vomiting, pain, fatigue, and diarrhea and were rated (on a 0-100 scale) by reference to the visual analogue scale (VSA) for pain, with lower scores indicating less symptoms ② Comparison of CR: complications included incision infection, necrosis of skin flap, wound bleeding, and stress ulcer ③ Comparison of UW-QOL scores: the score was rated based on the University of Washington Quality of Life Questionnaire (UW-QOL) of head and neck cancer patients on a scale of 0-100, with lower scores indicating worse quality of life [8][9][10][11] ④ Investigation on factors affecting patients' quality of life, which was carried out by self-designed questionnaire ⑤ Comparison of negative emotion scores of patients after intervention. The scores (on a scale of 0-100) of patients' self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were compared, with higher scores indicating heavier negative emotion [12][13][14][15] 2.6.…”

Section: Nursing Interventionmentioning

confidence: 99%

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer

Wang

Dong

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effects of different repair and reconstruction methods combined with psychological intervention on the quality of life and negative emotion of patients with oral cancer. Methods. 180 patients with oral cancer treated in our hospital from January 2018 to January 2020 were randomly divided into group A, group B, and group C, with 60 cases in each group. Group A and group B were repaired with submental island flap and free flap, respectively. Group C was divided into two groups, and group C was treated with routine nursing intervention. Group A and group B received psychological intervention. Clinical symptom scores, complication rate (CR), quality of life (according to the University of Washington quality of life questionnaire, UW-QOL), and negative emotion scores were compared. Results. After intervention, the clinical symptom scores and negative emotion scores of groups A and B were lower than those of group C ( P < 0.001 ), as well as the CR ( P < 0.05 ), and the UW-QOL scores of groups A and B were higher than those of group C ( P < 0.05 ), but no significant differences in these aspects were presented between group A and group B ( P > 0.05 ). The main factors affecting quality of life were swallowing/chewing, language, and saliva in group A; swallowing/chewing, language, and taste in group B; and appearance, swallowing/chewing, emotion, and language in group C. Conclusion. Psychological intervention can improve the mental state of patients with oral cancer after operation, optimize the effect of operation, and improve the quality of life. As the effect of psychological intervention on patients undergoing different repair and reconstruction methods is similar, it should be given according to patients’ actual condition in the clinic.

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Section: Nursing Interventionmentioning

confidence: 99%

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer

Wang

Dong

et al. 2022

Computational and Mathematical Methods in Medicine

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Free radial forearm flap for reconstruction of postoperative defects in combined and complex treatment of patients with locally-advanced squamous cell carcinoma of the oral cavity

Мудунов

Азизян

et al. 2020

Opuholi golovy i šei

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The study objective is to assess immediate and long-term results of replacing complex defects with a free radial forearm flap in the multimodal treatment of patients with locally advanced oral cavity squamous cell carcinoma. Materials and methods. Twenty eight patients (20 women and 8 men aged 23 to 71 years) with locally advanced oral cavity squamous cell carcinoma (including 10 buccal cancers, 8 carcinomas of tongue, 6 carcinomas of the floor of the mouth, 2 retromolar area carcinomas, 1 carcinoma of the hard palate and 1 carcinoma of alveolar region of the lower jaw) underwent tumor surgery with simultaneous plastic reconstruction of the defect using radial forearm free flap at the department of head and neck tumors of N. N. Blokhin National Medical Research Center of Oncology within 2010–2018. Primary tumors were detected in 2 patients and 11 patients had residual (n = 7) or recurrent (n = 4) tumors after radiotherapy or chemoradiotherapy. Results. An overall success rate was 96.4 %. Postoperative histology revealed that there were no tumor cells at the resection edges. Postoperative complications included: complete flap necrosis in 1 patient with severe concomitant diseases, marginal flap necrosis in 2 patients (in both cases after the necrotic tissue had rejected, wounds were healed by secondary intention), sural veins thrombosis in 1 patient, acute peptic ulcer bleeding on the 6th day after surgery in 1 patient treated with emergency endoscopic hemostasis. No lethal outcomes were reported. Postoperative period lasted in average 14 days. Upon subsequent observation tumor relapse in the oral cavity occurred in 4 (14.3 %) patients, relapses of regional metastases – in 2 (7.1 %). Good aesthetic and functional results were noted. Adequate restoration of breathing, chewing, swallowing and speaking resulted in a full patients’ rehabilitation. In all cases, the radial flap adapted well to the oral cavity organs and corresponded to the surrounding tissues in thickness and consistency. Conclusion. Use of a radial forearm free flap makes it possible to successfully reconstruct extensive and complex defects after surgery of locally advanced primary and recurrent forms of oral cavity squamous cell cancer of various locations. Due to flap’s high regenerative capabilities, preoperative radiation therapy does not affect the frequency of local complications. It allows restoring vital functions of the oral cavity and achieving good aesthetic and functional results.

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Oral cancer reconstructive surgery using the free radial forearm flap (review)

Мудунов

Азизян

et al. 2020

Opuholi golovy i šei

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This review covers the issues related to the application of radial free forearm flaps for the reconstruction of defects after surgeries for oral squamous cell carcinoma. The advantages of this method include optimal match of the flap to the tissues of the oral cavity, good adaptation to defect edges, and possibility to replace defects of almost any size and locations. Flap survival rate reaches 92.0–98.4 %. The method demonstrated good functional and aesthetic results when used for the repair of extensive defects of the tongue, oral floor, cheeks, as well as total defects of the lips, hard and soft palates. The main disadvantages of the method include aesthetic defects of the donor site and possible forearm dysfunction, but most patients are quite comfortable with these inconveniences. The death rate is 0.09 %; the incidence of complications is 15–24 %. The main cause of graft failure in this case is venous thrombosis. Advanced age is not currently considered as a contraindication for this method. Further studies evaluating free radial flaps are highly relevant, particularly those comparing this method with other ones and determining strict indications for it (such as size and location of the defect, tumor characteristics, and previous treatment).

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The Use of Submental Local Flap and Radial Free Flap for the Reconstruction of Defects in Patients With Oral Cancer

Cited by 5 publications

References 39 publications

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer

Free radial forearm flap for reconstruction of postoperative defects in combined and complex treatment of patients with locally-advanced squamous cell carcinoma of the oral cavity

Oral cancer reconstructive surgery using the free radial forearm flap (review)

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