Early outcomes of osteofascial versus osteocutaneous fibula free flap mandibular reconstruction
© 2024 The Authors. Head & Neck published by Wiley Periodicals LLC..
BACKGROUND: This study compares early outcomes of osteofascial fibula free flap (OF-FFF) with donor-site primary closure and osteocutaneous (OC) FFF with donor-site skin grafting in segmental mandibular reconstruction.
METHODS: A retrospective chart review of FFF mandibular reconstruction patients (2006-2022) divided into OF-FFF and OC-FFF groups. Clinical data, operative parameters, and early postoperative outcomes (≤ 90 days) were analyzed.
RESULTS: The study included 67 patients (39 OF-FFF, 28 OC-FFF). OF-FFF had significantly lower donor-site complications (12.8% vs. 53.6%, p < 0.001) and revision surgeries (7.7% vs. 35.7%, p = 0.004) compared to OC-FFF. Recipient-site (28.2% vs. 25%, p = 0.77) and flap (15.4% vs. 17.9%, p > 0.99) complications were comparable.
CONCLUSIONS: OF-FFF mandibular reconstruction with donor-site primary closure is a safe and reliable technique associated with superior donor-site and comparable flap and recipient-site outcomes to OC-FFF, thus may be considered as a viable alternative to OC-FFF for selected patients.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:46 |
---|---|
Enthalten in: |
Head & neck - 46(2024), 5 vom: 24. Apr., Seite 1168-1177 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Shilo, Shahaf [VerfasserIn] |
---|
Links: |
---|
Themen: |
Donor‐site |
---|
Anmerkungen: |
Date Completed 10.04.2024 Date Revised 10.04.2024 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1002/hed.27661 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM367694131 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | NLM367694131 | ||
003 | DE-627 | ||
005 | 20240410232436.0 | ||
007 | cr uuu---uuuuu | ||
008 | 240127s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1002/hed.27661 |2 doi | |
028 | 5 | 2 | |a pubmed24n1371.xml |
035 | |a (DE-627)NLM367694131 | ||
035 | |a (NLM)38279002 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Shilo, Shahaf |e verfasserin |4 aut | |
245 | 1 | 0 | |a Early outcomes of osteofascial versus osteocutaneous fibula free flap mandibular reconstruction |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 10.04.2024 | ||
500 | |a Date Revised 10.04.2024 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2024 The Authors. Head & Neck published by Wiley Periodicals LLC. | ||
520 | |a BACKGROUND: This study compares early outcomes of osteofascial fibula free flap (OF-FFF) with donor-site primary closure and osteocutaneous (OC) FFF with donor-site skin grafting in segmental mandibular reconstruction | ||
520 | |a METHODS: A retrospective chart review of FFF mandibular reconstruction patients (2006-2022) divided into OF-FFF and OC-FFF groups. Clinical data, operative parameters, and early postoperative outcomes (≤ 90 days) were analyzed | ||
520 | |a RESULTS: The study included 67 patients (39 OF-FFF, 28 OC-FFF). OF-FFF had significantly lower donor-site complications (12.8% vs. 53.6%, p < 0.001) and revision surgeries (7.7% vs. 35.7%, p = 0.004) compared to OC-FFF. Recipient-site (28.2% vs. 25%, p = 0.77) and flap (15.4% vs. 17.9%, p > 0.99) complications were comparable | ||
520 | |a CONCLUSIONS: OF-FFF mandibular reconstruction with donor-site primary closure is a safe and reliable technique associated with superior donor-site and comparable flap and recipient-site outcomes to OC-FFF, thus may be considered as a viable alternative to OC-FFF for selected patients | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a donor‐site | |
650 | 4 | |a fibula free flap | |
650 | 4 | |a mandibular reconstruction | |
650 | 4 | |a microvascular | |
650 | 4 | |a osteofascial | |
700 | 1 | |a Muhanna, Nidal |e verfasserin |4 aut | |
700 | 1 | |a Fliss, Dan M |e verfasserin |4 aut | |
700 | 1 | |a Horowitz, Gilad |e verfasserin |4 aut | |
700 | 1 | |a Warshavsky, Anton |e verfasserin |4 aut | |
700 | 1 | |a Mansour, Jobran |e verfasserin |4 aut | |
700 | 1 | |a Ianculovici, Clariel |e verfasserin |4 aut | |
700 | 1 | |a Fliss, Ehud |e verfasserin |4 aut | |
700 | 1 | |a Barnea, Yoav |e verfasserin |4 aut | |
700 | 1 | |a Zaretski, Arik |e verfasserin |4 aut | |
700 | 1 | |a Yanko, Ravit |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Head & neck |d 1996 |g 46(2024), 5 vom: 24. Apr., Seite 1168-1177 |w (DE-627)NLM012791806 |x 1097-0347 |7 nnns |
773 | 1 | 8 | |g volume:46 |g year:2024 |g number:5 |g day:24 |g month:04 |g pages:1168-1177 |
856 | 4 | 0 | |u http://dx.doi.org/10.1002/hed.27661 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 46 |j 2024 |e 5 |b 24 |c 04 |h 1168-1177 |