Autor: |
Molteni, Gabriele, Gazzini, Luca, Sacchetto, Andrea, Nocini, Riccardo, Comini, Lara Valentina, Arietti, Valerio, Locatello, Luca Giovanni, Mannelli, Giuditta |
Předmět: |
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Zdroj: |
European Archives of Oto-Rhino-Laryngology; Sep2023, Vol. 280 Issue 9, p3953-3965, 13p |
Abstrakt: |
Introduction: The aim of this study is to perform a systematic review to compare the outcomes of the different surgical options for mandibular reconstruction in head and neck cancer. Material and methods: 93 articles were selected. Four groups were identified: titanium plate without flaps, titanium plate covered by soft tissue flap, bone tissue flaps and double flaps. We compared patients' characteristics, site of mandibulectomy, type of reconstruction and complications. Results: 4697 patients were reported. The groups were not homogeneous regarding the type of defect and the treatment history. A significant difference in terms of post-operative complications was found between group 1 and group 2 (p < 0.00001), and between group 2 and group 3 (p < 0.00001). Total complications rate for group 4 was significantly higher when compared to group 3 (p < 0.00001), but no significant difference was found with group 2. Conclusion: These results suggest that mandibular reconstruction using a microvascular bone flap is the best surgical option in patients without significant comorbidities. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
Externí odkaz: |
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