Rates of bone reabsorption and union in mandibular reconstruction using the osteocutaneous radial forearm free flap.
Head Neck
; 44(2): 420-430, 2022 02.
Article
em En
| MEDLINE
| ID: mdl-34816528
ABSTRACT
BACKGROUND:
Historical concerns over bone resorption and malunion of the osteocutaneous radial forearm free flap (OCRFFF) limited its widespread adoption for head and neck reconstruction, despite lack of outcomes data evaluating this notion.METHODS:
A retrospective cohort study was performed including patients 18 years or older who underwent reconstruction of the mandible using an OCRFFF. Linear modeling and logistic regression were used to evaluate the change in bone volume and union over time.RESULTS:
One hundred and twenty-one patients were included in the study. A mixed effects linear model incorporating age, sex, treatment type, and number of bone segments did not demonstrate a significant loss of bone volume over time. A logistic regression model identified lack of adjuvant treatment and time to be significantly associated with complete union.CONCLUSION:
This study supports that the OCRFFF is a stable form of osseus reconstruction for defects of the head and neck.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Escamosas
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Procedimentos de Cirurgia Plástica
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Retalhos de Tecido Biológico
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Reconstrução Mandibular
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article