Donor site scar preference in head and neck free flap reconstruction: The patient point of view
Background: Several free flaps are nowadays available for functional reconstruction after hemi-glossectomy in head and neck oncologic surgery. Radial forearm free flap (RFFF) and anterolateral thigh (ALT) have been played a workhorse role until recent years, when other valuable options such as Media...
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Elsevier
2024-06-01
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| Series: | Oral Oncology Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772906024002991 |
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| author | Andrea Iandelli Francesco Mazzola Fabrizio Di Mari Gilda Gaglio Giulia Bianchi Filippo Marchi Giovanni Zoccali Flaminia Campo Giampiero Parrinello Gerardo Petruzzi Giorgio Peretti Raul Pellini |
| author_facet | Andrea Iandelli Francesco Mazzola Fabrizio Di Mari Gilda Gaglio Giulia Bianchi Filippo Marchi Giovanni Zoccali Flaminia Campo Giampiero Parrinello Gerardo Petruzzi Giorgio Peretti Raul Pellini |
| author_sort | Andrea Iandelli |
| collection | DOAJ |
| description | Background: Several free flaps are nowadays available for functional reconstruction after hemi-glossectomy in head and neck oncologic surgery. Radial forearm free flap (RFFF) and anterolateral thigh (ALT) have been played a workhorse role until recent years, when other valuable options such as Medial Sural Artery Perforator (MSAP) flap and Profunda Artery Perforator (PAP) flap demonstrated to be suitable contenders and are increasingly taken into account. This study aims to investigate the preference of the donor site in the light of esthetical and functional outcomes. Methods: The participants attended a one-to-one interview with a surgeon explaining a standardized head and neck oncological procedure requiring a soft tissue reconstruction. The donor site preference in terms of esthetical, functional and overall outcomes among these four flap options was investigated. Results: Univariable and multivariable analysis were performed comparing the donor site preference between the two most widespread free flap RFFF vs ALT. Subsequently, the analysis was performed comparing RFFF, ALT, MSAP and PAP. Conclusions: The study illustrated that a diverse group of patients exhibits similarly diverse preferences and expectations. As we observe a shift in the age distribution of patients with OSCC from the fifth-sixth decade towards the two extremes, and an increased incidence in the female population, it becomes essential to enhance reconstructive options provided to patients. This ensures that, while maintaining an equivalent functional outcome, we maximize patient satisfaction to the fullest extent possible. |
| format | Article |
| id | doaj-art-356015631b23416ab40b3805fa22e096 |
| institution | Kabale University |
| issn | 2772-9060 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral Oncology Reports |
| spelling | doaj-art-356015631b23416ab40b3805fa22e0962025-01-09T06:16:20ZengElsevierOral Oncology Reports2772-90602024-06-0110100453Donor site scar preference in head and neck free flap reconstruction: The patient point of viewAndrea Iandelli0Francesco Mazzola1Fabrizio Di Mari2Gilda Gaglio3Giulia Bianchi4Filippo Marchi5Giovanni Zoccali6Flaminia Campo7Giampiero Parrinello8Gerardo Petruzzi9Giorgio Peretti10Raul Pellini11Unit of Otorhinolaryngology-Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, ItalyDepartment of Otolaryngology-Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Istituti Fisioterapici Ospitalieri (IFO), Rome, Italy; Corresponding author. Via Elio Chianesi, 53, Rome, Italy.Department of Statistical Sciences, Università di Roma “La Sapienza”, Rome, ItalyDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy; Department of Otorhinolaryngology, Ospedale San Paolo, 17100, Savona, ItalyDepartment of Otolaryngology-Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Istituti Fisioterapici Ospitalieri (IFO), Rome, ItalyUnit of Otorhinolaryngology-Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, ItalyPlastic and Reconstructive Surgery Department-I.R.C.C.S. “Regina Elena” National Cancer Institute, Rome, ItalyDepartment of Otolaryngology-Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Istituti Fisioterapici Ospitalieri (IFO), Rome, ItalyUnit of Otorhinolaryngology-Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, ItalyDepartment of Otolaryngology-Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Istituti Fisioterapici Ospitalieri (IFO), Rome, ItalyUnit of Otorhinolaryngology-Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, ItalyDepartment of Otolaryngology-Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Istituti Fisioterapici Ospitalieri (IFO), Rome, ItalyBackground: Several free flaps are nowadays available for functional reconstruction after hemi-glossectomy in head and neck oncologic surgery. Radial forearm free flap (RFFF) and anterolateral thigh (ALT) have been played a workhorse role until recent years, when other valuable options such as Medial Sural Artery Perforator (MSAP) flap and Profunda Artery Perforator (PAP) flap demonstrated to be suitable contenders and are increasingly taken into account. This study aims to investigate the preference of the donor site in the light of esthetical and functional outcomes. Methods: The participants attended a one-to-one interview with a surgeon explaining a standardized head and neck oncological procedure requiring a soft tissue reconstruction. The donor site preference in terms of esthetical, functional and overall outcomes among these four flap options was investigated. Results: Univariable and multivariable analysis were performed comparing the donor site preference between the two most widespread free flap RFFF vs ALT. Subsequently, the analysis was performed comparing RFFF, ALT, MSAP and PAP. Conclusions: The study illustrated that a diverse group of patients exhibits similarly diverse preferences and expectations. As we observe a shift in the age distribution of patients with OSCC from the fifth-sixth decade towards the two extremes, and an increased incidence in the female population, it becomes essential to enhance reconstructive options provided to patients. This ensures that, while maintaining an equivalent functional outcome, we maximize patient satisfaction to the fullest extent possible.http://www.sciencedirect.com/science/article/pii/S2772906024002991Donor siteHead and neck reconstructionFree flapOral cavity reconstructionHead and neck cancerOral cavity squamous cell carcinoma |
| spellingShingle | Andrea Iandelli Francesco Mazzola Fabrizio Di Mari Gilda Gaglio Giulia Bianchi Filippo Marchi Giovanni Zoccali Flaminia Campo Giampiero Parrinello Gerardo Petruzzi Giorgio Peretti Raul Pellini Donor site scar preference in head and neck free flap reconstruction: The patient point of view Oral Oncology Reports Donor site Head and neck reconstruction Free flap Oral cavity reconstruction Head and neck cancer Oral cavity squamous cell carcinoma |
| title | Donor site scar preference in head and neck free flap reconstruction: The patient point of view |
| title_full | Donor site scar preference in head and neck free flap reconstruction: The patient point of view |
| title_fullStr | Donor site scar preference in head and neck free flap reconstruction: The patient point of view |
| title_full_unstemmed | Donor site scar preference in head and neck free flap reconstruction: The patient point of view |
| title_short | Donor site scar preference in head and neck free flap reconstruction: The patient point of view |
| title_sort | donor site scar preference in head and neck free flap reconstruction the patient point of view |
| topic | Donor site Head and neck reconstruction Free flap Oral cavity reconstruction Head and neck cancer Oral cavity squamous cell carcinoma |
| url | http://www.sciencedirect.com/science/article/pii/S2772906024002991 |
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