Evidence map›Paper›PMID 30037329›Full record

ArticleWorld journal of surgical oncology2018

The application of fibular free flap with flexor hallucis longus in maxilla or mandible extensive defect: a comparison study with conventional flap.

Youkang Ni, Ping Lu, Zhi Yang, Wenlong Wang, Wei Dai, Zhong-Zheng Qi, Weiyi Duan, Zhong-Fei Xu, Chang-Fu Sun, Fayu Liu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Youkang NiDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Ping LuDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Zhi YangDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Wenlong WangDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Wei DaiDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Zhong-Zheng QiDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Weiyi DuanDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Zhong-Fei XuDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Chang-Fu SunDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China.
Fayu LiuDepartment of Oromaxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, 110002, Liaoning, People's Republic of China. lfyhjk@126.com.

Funding

Basic scientific research projects of colleges of Liaoning Province No. LQNK201725Doctoral Scientific Research Launching Fund Project of Liaoning province No. 201501002Excellent Talent Fund Project of Higher education Liaoning province LJQ2014087Key research and development guidance program in Liaoning Province No. 2017225037Scientific project of Shenyang City No. 17-230-9-12the National Natural Science Foundation of China grants No.81372877Youth Science and technology innovation plan of Shenyang city RC170489
6 · The paper itself

Abstract

backgroundThe repair and reconstruction of maxillary and mandibular extensive defects have put huge challenges to surgeons. The fibular free flap (FFF) is one of the standard treatment choices for reconstruction. The conventional FFF has deficiencies, such as forming poor oral mucosa, limited flap tissue, and perforator vessel variation. To improve the use of FFF, we add the flexor hallucis longus (FHL) in the flap (FHL-FFF). In this paper, we described the advantage and indication of FHL-FFF and conducted a retrospective study to compare FHL-FFF and FFF without FHL.

methodsFifty-four patients who underwent FFF were enrolled and divided into two groups: nFHL group (using FFF without FHL, 38 patients) and FHL group (using FHL-FFF, 16 patients). The perioperative clinical data of patients was collected and analyzed.

resultsThe flaps all survived in two groups. We mainly used FHL to fill dead space, and the donor-site morbidity was slight. In FHL group, flap harvesting time was shorter (118.63 ± 11.76 vs 125.74 ± 11.33 min, P = 0.042), the size of flap's skin paddle was smaller (16.5 (0-96) vs 21.0(10-104) cm

conclusionThe FHL-FFF simplifies the flap harvesting operation. The FHL can form good mucosa and make FFF rely less on skin paddle. It can be used for adding flap tissue and dealing with perforator vessel variation in reconstruction of maxillary and mandibular extensive defects.

Indexed as

Free Tissue FlapsAdultAgedFemaleFibulaHumansMaleMandibleMandibular NeoplasmsMandibular ReconstructionMaxillaMaxillary NeoplasmsMiddle AgedPrognosisRetrospective StudiesWounds and InjuriesExtensive defectFibular free flapFlexor hallucis longusMaxillary and mandibular defectReconstruction

Identifiers

PMID30037329
PMCPMC6057000

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.