{"title":"Use of cold devices for tumor resection improves the engraftment rate of full-thickness skin grafts in buccal mucosal cancer","authors":"Yoshio Ohyama , Yasuyuki Michi , Yoshinori Inaba , Kazuki Hasegawa","doi":"10.1016/j.ajoms.2025.05.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div><span><span>Skin grafting<span> is a less invasive option for reconstruction following the excision of buccal mucosal cancer and can help prevent </span></span>trismus. Although it is a valuable method, skin survival rates have traditionally been suboptimal. We report a high skin </span>engraftment rate achieved by performing full-thickness skin grafts for buccal mucosal cancer up to T-stage III, coupled with tumor excision using cold devices instead of an electric knife.</div></div><div><h3>Methods</h3><div>This study analyzed 15 cases of full-thickness skin grafting performed on the patients with buccal mucosal cancer who visited our department between April 2016 and December 2023. Radical surgery was performed, with skin fixation achieved through tying and applying an anchor suture. The primary outcome was the engraftment rate of the grafted skin, and explanatory factors included age, sex, tumor site, the extent of resection, depth, device used for tumor resection, and use of a buccal fat pad.</div></div><div><h3>Results</h3><div>The mean age of the enrolled patients (n = 15) was 74.5 (range, 35–96) years. Of the 15 cases analyzed, 7 and 8 were in the electric knife and cold device groups, respectively. Univariate analysis<span> revealed that resection below the buccal muscle and the use of cold devices were significantly associated with a higher engraftment rate. Multivariate analysis confirmed that a smaller resection area and the use of cold devices were significantly associated with better skin engraftment outcomes.</span></div></div><div><h3>Conclusion</h3><div>The use of cold devices during the resection of buccal mucosa cancer significantly improves the engraftment rate of full-thickness skin grafts.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 6","pages":"Pages 1181-1185"},"PeriodicalIF":0.4000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212555825000936","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
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Abstract
Objective
Skin grafting is a less invasive option for reconstruction following the excision of buccal mucosal cancer and can help prevent trismus. Although it is a valuable method, skin survival rates have traditionally been suboptimal. We report a high skin engraftment rate achieved by performing full-thickness skin grafts for buccal mucosal cancer up to T-stage III, coupled with tumor excision using cold devices instead of an electric knife.
Methods
This study analyzed 15 cases of full-thickness skin grafting performed on the patients with buccal mucosal cancer who visited our department between April 2016 and December 2023. Radical surgery was performed, with skin fixation achieved through tying and applying an anchor suture. The primary outcome was the engraftment rate of the grafted skin, and explanatory factors included age, sex, tumor site, the extent of resection, depth, device used for tumor resection, and use of a buccal fat pad.
Results
The mean age of the enrolled patients (n = 15) was 74.5 (range, 35–96) years. Of the 15 cases analyzed, 7 and 8 were in the electric knife and cold device groups, respectively. Univariate analysis revealed that resection below the buccal muscle and the use of cold devices were significantly associated with a higher engraftment rate. Multivariate analysis confirmed that a smaller resection area and the use of cold devices were significantly associated with better skin engraftment outcomes.
Conclusion
The use of cold devices during the resection of buccal mucosa cancer significantly improves the engraftment rate of full-thickness skin grafts.