Serial assessment and long-term radiographic evaluation of the maxillary sinus after inferior maxillectomy and soft tissue free flap reconstruction in patients with oral cancer.

Autor: Dang RR; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University and Medical College, Taoyuan, Taiwan., Hu YF; Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan., Tsao CK; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Young CK; Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Liao CT; Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Chen CH; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Kang CJ; Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.; College of Medicine, Chang Gung University, Taoyuan, Taiwan., Huang SF; Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Feb; Vol. 46 (2), pp. 300-305. Date of Electronic Publication: 2023 Nov 20.
DOI: 10.1002/hed.27575
Abstrakt: Purpose: This study evaluates serial radiographic changes in the maxillary sinus of patients with oral cancer after an inferior maxillectomy and a soft tissue free flap reconstruction.
Methods: Fifty-six patients were evaluated between Oct 2005 and Mar 2017 from an institutional database. Preoperative and surveillance imaging was reviewed at set time-points. Maxillary sinus scores were allotted based on a modification of the Lund-MacKay staging system. Patients were evaluated for change in sinus score. A univariate (UV) and multivariate (MV) analysis was performed.
Results: There were 53.5% T3/T4 category tumors and 68% received adjuvant treatment. Median follow-up was 24.4 months. Preoperative mean sinus score was 0.27 ± 0.44 and postoperative mean sinus score at 24 months was 1.2 ± 1.3 (p = <0.001). On UV analysis advanced T-stage at 12 months (OR 6.7, 95% CI 1.2-50.3, p = 0.01) and 24 months (OR 5.2, 95% CI 1.03-36.8, p = 0.04) was associated with significantly higher sinus score. On MV analysis, advanced T-stage continued to be associated with increased odds for higher sinus score (OR 4.9, 95% CI 1.1-26.8, p = 0.039).
Conclusion: A mild increase in postoperative sinus score is seen in this cohort of patients. Advanced T-stage is associated with increased odds for higher sinus scores.
(© 2023 The Authors. Head & Neck published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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