Submental Island Pedicled Flap vs Radial Forearm Free Flap for Oral Reconstruction Comparison of Outcomes
Submental Island Pedicled Flap vs Radial Forearm Free Flap for Oral Reconstruction Comparison of Outcomes
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DOI:
10.1001/archoto.2010.204
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发表时间:
2011-01-01
影响因子:
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通讯作者:
Patel, Urjeet A.
中科院分区:
文献类型:
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作者:
Paydarfar, Joseph A.;Patel, Urjeet A.
Objective: To compare intraoperative, postoperative, and functional results of submental island pedicled flap (SIPF) against radial forearm free flap (RFFF) reconstruction for tongue and floor-of-mouth reconstruction.Design: Multi-institutional retrospective review.Setting: Academic tertiary referral center.Patients: Consecutive patients from February 2003 to December 2009 undergoing resection of oral tongue or floor of mouth followed by reconstruction with SIPF or RFFF.Intervention: Two groups: SIPF vs RFFF.Main Outcome Measures: Duration of operation, hospital stay, surgical complications, and speech and swallowing function.Results: The study included 60 patients, 27 with SIPF reconstruction and 33 with RFFF reconstruction. Sex, age, and TNM stage were similar for both groups. Mean flap size was smaller for SIPF (36 cm(2)) than for RFFF (50 cm(2)) (P