Transoral resection with buccinator flap reconstruction vs. pull-through resection and free flap reconstruction for the management of T1/T2 cancer of the tongue and floor of the mouth

Ferri, Andrea; Perlangeli, Giuseppe; Montalto, Nausica; Lizarazo, Jose Luis Carrillo; Bianchi, Bernardo; Ferrari, Silvano; Nicolai, Piero; Sesenna, Enrico; Grammatica, Alberto

doi:10.1016/j.jcms.2020.02.010

Cited by 16 publications

(20 citation statements)

References 19 publications

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“…This flap is versatile and it can be used for soft palate, floor of mouth, or retromolar triangle defects [8,13]. Its advantages are reduced donor site morbidity as well as the good functional and esthetic outcomes without cheek depression [14]. Moreover, cervical dissection with facial vessel sacrifice does not compromise this flap since it receives ample blood supply from the buccal artery [7].…”

Section: Discussionmentioning

confidence: 99%

The sublingual gland flap: surgical technique and indications for the reconstruction of small oral defects

Malinge

Piot

Longis

et al. 2021

J Oral Med Oral Surg

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Section: Discussionmentioning

confidence: 99%

The sublingual gland flap: surgical technique and indications for the reconstruction of small oral defects

Malinge

Piot

Longis

et al. 2021

J Oral Med Oral Surg

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“…Data from the included studies were adequately stratified by involved oral subsites in three papers [37,46,48] and incompletely/inadequately in five (which customarily grouped different oral subsites) [9,23,30,36,49]. Investigations performed by five studies were on homogeneous populations regarding this variable: on mobile tongue cancers in three [28,31,45], on lower lip cancers in one [38], and on buccal mucosa cancers in another [39].…”

Section: Disease-and Treatment-specific Variables (Dt)mentioning

confidence: 99%

“…Tumor stage was reported in 26 articles-data stratification was properly performed in three [9,36,46] and incomplete/inadequate stratification was performed in nine (which distinguished patients grouping different T stages together) [23][24][25][26][27]33,34,[49][50][51]; in three studies the investigations were performed on homogenous populations regarding this variable: on pT3 of the mobile tongue in two [28,31] and on T4 of the buccal mucosal in the other [39].…”

Section: Disease-and Treatment-specific Variables (Dt)mentioning

confidence: 99%

“…Performed mandibular resection was overtly reported in 15 articles-data stratification was properly performed in three [23,36,46]; incomplete/inadequate stratification was performed in one (which compared no mandibular resection group to patients undergoing mandibular resection grouping together with those who received marginal and segmental resections) [24]; six studies clearly stated that none of the included cases underwent mandibular resection [28,31,38,39,45,49]; and in three studies, the investigated population homogeneously underwent segmental mandibular resection [29,40,48].…”

Section: Disease-and Treatment-specific Variables (Dt)mentioning

confidence: 99%

“…Data from one study were considered incompletely/inadequately stratified due to the reported horizontal defect size (which partially defined the extent of surgical resection) [48]. In two studies, the investigated population homogeneously underwent the same resection: partial glossectomy in one [28] and partial pelviglossectomy in the other [31].…”

Section: Disease-and Treatment-specific Variables (Dt)mentioning

confidence: 99%

See 2 more Smart Citations

Health-Related Quality of Life in Oral Cancer Patients: Scoping Review and Critical Appraisal of Investigated Determinants

Cicco

Tartaro

Fasano

et al. 2021

Cancers

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Background: health-related quality of life (HRQOL) represents a secondary endpoint of medical interventions in oncological patients. Our aim was to highlight potential sources of bias that could be encountered when evaluating HRQOL in oral cancer patients. Methods: this review followed PRISMA-ScR recommendations. Participants: patients treated for oral cancer. Concept: HRQOL assessed by EORTC QLQ-C30 and QLQ-H&N35/QLQ-H&N43. A critical appraisal of included studies was performed to evaluate the accuracy of data stratification with respect to HRQOL determinants. Results: overall, 30 studies met the inclusion criteria, totaling 1833 patients. In total, 8 sociodemographic (SDG) and 15 disease/treatment-specific (DT) HRQOL determinants (independent variables) were identified. The mean number of the independent variables was 6.1 (SD, 4.3)—5.0 (SD, 4.0) DT-related and 1.1 (SD, 1.8) SDG-related variables per article. None of the included papers considered all the identified determinants simultaneously. Conclusions: a substantial lack of evidence regarding HRQOL determinants was demonstrated. This strongly weakens the reliability of the reported findings due to the challenging presence of baseline confounding, selection, and omitted variable biases. The proposed approach recommends the use of further evaluation tools that gather more variables in a single score together with a selection of more homogeneous, reproducible, and comparable cohorts based on the identified baseline confounding.

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Real‐Time Subcutaneous Arterial Navigation for Thinning of an Anterolateral Thigh Flap Using Photoacoustic Imaging and Projection Mapping: A Case Report

Tsuge,

Saito,

Munisso

et al. 2025

Microsurgery

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Thinning of anterolateral thigh flap is challenging. Anatomical studies have shown variations in arterial branching patterns in the subcutaneous layer, which were suspected to be the reason for the high frequency of thinning failures. We attempted to visualize subcutaneous arterial courses preoperatively and perform thinning of perforator flaps using this information appropriately. We accumulated evidence on the accuracy of noninvasive vascular visualization using photoacoustic tomography (PAT). In the present case, we applied a medical imaging projection system (MIPS), which enabled real‐time surgical navigation using indocyanine green (ICG) emission signals, to use photoacoustic information intraoperatively during the flap thinning procedure. A 69‐year‐old woman underwent half‐tongue resection using the pull‐through method for right‐sided tongue cancer. Preoperative PAT was performed 5 days before surgery. The 12 × 6‐cm area took ~8 min to scan. We used an ICG test card containing ICG‐positive control material cut into strips to show tentative artery lines by projection mapping. The transparent vascular map was laminated and sterilized. MIPS captured ICG fluorescence signals that penetrated the anterolateral thigh flap and continuously projected the purple area on the reverse side of the flap, guiding the position of the tentative arteries. A 20 × 6.5‐cm anterolateral thigh flap was elevated with the distal part of the reconstructed tongue and proximal de‐epithelialized part to fill the pull‐thorough tunnel in the submandibular region. Active bleeding was observed when cutting marginal fat tissue near the purple line of the distal ALT flap projected by MIPS. The study protocol did not include a highly invasive trial for MIPS‐guided thinning; therefore, we removed minimal marginal fat tissue. The ALT flap showed no postoperative complications while maintaining conversation and swallowing functions. We present the concept of subcutaneous arterial real‐time navigation surgery using PAT and MIPS for safe, easy, and fast flap thinning procedures in the future.

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Transoral resection with buccinator flap reconstruction vs. pull-through resection and free flap reconstruction for the management of T1/T2 cancer of the tongue and floor of the mouth

Cited by 16 publications

References 19 publications

The sublingual gland flap: surgical technique and indications for the reconstruction of small oral defects

The sublingual gland flap: surgical technique and indications for the reconstruction of small oral defects

Health-Related Quality of Life in Oral Cancer Patients: Scoping Review and Critical Appraisal of Investigated Determinants

Real‐Time Subcutaneous Arterial Navigation for Thinning of an Anterolateral Thigh Flap Using Photoacoustic Imaging and Projection Mapping: A Case Report

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