Reconstruction design before tumour resection: A new concept of through-and-through cheek defect reconstruction. (November 2017)

• Record Type: Journal Article
• Authors: Gong, Zhao-Jian; Ren, Zhen-Hu; Wang, Kai; Tan, Hong-Yu; Zhang, Sheng; Wu, Han-Jiang
• Is Part Of: Oral oncology. Volume 74(2017)
• Page Start: 123
• Page End: 129
• Publication Date: 2017-11
• Subjects: Through-and-through cheek defects -- Buccal squamous cell carcinoma -- Oral cancer -- Quality of life -- Anterolateral thigh flap; Mouth -- Cancer -- Periodicals; Mouth -- Tumors -- Periodicals; Mouth Diseases -- Periodicals; Mouth Neoplasms -- Periodicals; Bouche -- Cancer -- Périodiques; Bouche -- Tumeurs -- Périodiques; Tumeurs -- Périodiques; Electronic journals; 616.9943105
• DOI: 10.1016/j.oraloncology.2017.09.023
• Languages: English
• ISSNs: 1368-8375

Abstract

Highlights: This study provides a new concept of through-and-through cheek defects reconstruction. This new method makes the effect of plastics and reconstructions to a new height. This new method dramatically improves the quality of life for buccal cancer patients. Abstract: Objective: To explore a new method of reconstruction of through-and-through cheek defects and to evaluate this method's efficacy and patient prognosis. Materials and methods: This retrospective study included 70 patients who underwent reconstruction of through-and-through cheek defects. The surgical approach, design of facial skin incisions, selection and design of flaps, postoperative quality of life and prognosis of patients were recorded and reported. Results: Postoperative quality of life gradually increased over time, and the mean scores of University of Washington Quality of Life (UW-QOL) Questionnaire was more than 80 at 1-year postoperatively. The appearance, oral competence, chewing, swallowing, speech and other oral functions were well recovered in about 90% of patients at 1-year postoperatively. Conclusion: This new idea of reconstruction before tumour resection, brings the effect of plastic and reconstructive surgery to a new height.