Long-term functional and esthetic outcomes after fibula free flap reconstruction of the mandible Journal Article

   


Authors: Petrovic, I.; Baser, R.; Blackwell, T.; McCarthy, C.; Ganly, I.; Patel, S.; Cordeiro, P.; Shah, J.
Article Title: Long-term functional and esthetic outcomes after fibula free flap reconstruction of the mandible
Abstract: Background: The goal of this study is to report functional and esthetic outcomes, after fibula free flap (FFF) reconstruction of the mandible for oral cancer, assessed by physicians, nonclinicians, and patients. Methods: Twenty-five long-term survivors from oral cancer after FFF reconstruction were recalled for head and neck examination by surgeons, for photographs and patient-reported outcomes, using EORTC, QLQ-C30, H&N35, and FACE-Q questionnaires. Results: Physicians reported 64% restoration of functionality compared to normal. Patients reported high scores on QLQ-C30 but lower scores on H&N35. Esthetic scores were reported higher by clinicians than nonclinicians. The decline in function and appearance was attributed to loss of lower dentition, trismus, malocclusion, xerostomia, and tissue atrophy. Conclusion: To minimize the decline in function and appearance, immediate dental implants in FFF, better reconstruction of the temporomandibular joint, newer methods of radiotherapy to minimize xerostomia and oral exercises to prevent trismus should be considered. © 2019 Wiley Periodicals, Inc.
Keywords: quality of life; head and neck cancer; xerostomia; patient-reported outcomes; trismus; long-term survivors; oral cancer; functional outcomes; fibula free flap; face-q; esthetic outcomes; malocclusion; qlq c30; qlq hn-35
Journal Title: Head & Neck
Volume: 41
Issue: 7
ISSN: 1043-3074
Publisher: John Wiley & Sons, Inc.  
Date Published: 2019-07-01
Start Page: 2123
End Page: 2132
Language: English
DOI: 10.1002/hed.25666
PROVIDER: scopus
PMCID: PMC6579701
PUBMED: 30761650
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061443006&doi=10.1002%2fhed.25666&partnerID=40&md5=9698839cd4877b8d8086eb5d13f79ebb
Notes: Article -- Source: Scopus
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MSK Authors
  1. Raymond E Baser
    133 Baser
  2. Snehal G Patel
    412 Patel
  3. Peter G Cordeiro
    282 Cordeiro
  4. Colleen Marie McCarthy
    143 McCarthy
  5. Ian Ganly
    430 Ganly
  6. Janki Kalpesh Shah
    23 Shah
  7. Ivana Petrovic
    15 Petrovic
  8. Timothy J Blackwell
    4 Blackwell
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