Use of cold devices for tumor resection improves the engraftment rate of full-thickness skin grafts in buccal mucosal cancer

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Yoshio Ohyama , Yasuyuki Michi , Yoshinori Inaba , Kazuki Hasegawa
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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.
采用冷装置切除肿瘤可提高颊粘膜癌全层植皮率
目的口腔黏膜癌切除后植皮是一种创伤较小的重建方法,可预防牙关紧闭。虽然这是一种有价值的方法,但传统上皮肤存活率并不理想。我们报道,通过对颊粘膜癌进行全层皮肤移植,达到了很高的植皮率,直到t期III期,再加上使用冷装置而不是电刀进行肿瘤切除。方法分析2016年4月至2023年12月我科收治的口腔黏膜癌患者全层植皮术15例。行根治性手术,通过绑扎和应用锚钉缝合实现皮肤固定。主要结局为植皮率,解释因素包括年龄、性别、肿瘤部位、切除程度、深度、肿瘤切除装置和使用颊脂肪垫。结果入组患者的平均年龄(n = 15)为74.5岁(35 ~ 96岁)。15例中,电刀组7例,冷刀组8例。单因素分析显示,颊肌以下切除和使用冷装置与较高的植入率显著相关。多因素分析证实,较小的切除面积和使用冷装置与更好的皮肤植入结果显着相关。结论口腔黏膜癌切除术中使用冷装置可显著提高全层植皮率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
129
审稿时长
83 days
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