SynthesisHead & neck2019
A systematic review of validated tools assessing functional and aesthetic outcomes following fibula free flap reconstruction of the mandible.
Synthesis in Head & neck, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of rehabilitation with dental implants on the quality of life of patients undergoing maxillofacial reconstruction: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Pooled it
- Dental Implant Survival in Vascularized Bone Flaps: A Systematic Review and Meta-Analysis.Plastic and reconstructive surgery · 2020Pooled it
- Biomechanical evaluation of 3D-printed porous lattice versus solid mandibular implants: an in vitro study.Scientific reports · 2026Article
- Objective Evaluation of Accuracy of Stereolithographic Models in Reconstruction of Mandibular Defects.Journal of maxillofacial and oral surgery · 2025Article
- The localization of septo-cutaneous perforators of free fibular flaps determines the postoperative accuracy of maxillofacial reconstructions and should therefore be included in virtual surgical planning procedures.Oral and maxillofacial surgery · 2025Article
- Article
- Case Report: Free fibula flap for post-oncologic mandibular reconstruction, first experience in Tirana.Frontiers in oncology · 2025Article
- Postoperative facial appearance of patients with extensive oral squamous cell carcinoma can be adequately preserved with in‑house virtually planned mandibular reconstruction.Molecular and clinical oncology · 2023Article
- A retrospective study on application of fibula/iliac flap surgical techniques to mandibular defects.Scientific reports · 2023Article
- Changes in condylar position and morphology after mandibular reconstruction by vascularized fibular free flap with condyle preservation.Clinical oral investigations · 2023Article
- Article
- Towards Optimum Mandibular Reconstruction for Dental Occlusal Rehabilitation: From Preoperative Virtual Surgery to Autogenous Particulate Cancellous Bone and Marrow Graft with Custom-Made Titanium Mesh-A Retrospective Study.Journal of clinical medicine · 2023Article
- The Progress in Reconstruction of Mandibular Defect Caused by Osteoradionecrosis.Journal of oncology · 2023Review
- A Biofabrication Strategy for a Custom-Shaped, Non-Synthetic Bone Graft Precursor with a Prevascularized Tissue Shell.Frontiers in bioengineering and biotechnology · 2022Article
- The role of folded fibular flap in patients' reconstruction of mandibular defects: a retrospective clinical study.Scientific reports · 2021Article
- Classification, History, and Future Prospects of Maxillofacial Prosthesis.International journal of dentistry · 2019Review
- Finite element biomechanical comparison of bone-driven and occlusion-driven fibular flap positioning in lateral segmental mandibular reconstruction.Journal of oral biology and craniofacial researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundSegmental mandibulectomy impairs health-related quality of life (QoL), by altering speech, mastication, swallowing, and facial aesthetics. Fibula free flap (FFF) used for mandible reconstruction is known to improve outcomes; however, minimal information exists in the literature regarding patient-reported outcomes. We aim to assess how current studies evaluate patient perception following segmental mandibulectomy and FFF mandible reconstruction.
methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a search was conducted for publications involving FFF mandible reconstruction from 2005 to 2017 using PubMed, Cochrane, EMBASE, Web of Science, and PsychInfo.
resultsOf 2212 articles identified initially, only 7 studies were deemed suitable. Six studies used the University of Washington Quality of Life questionnaire, 3 Oral Health Impact Profile, and 1 used European Organization for Research and Treatment of Cancer Head and Neck (EORTC-H&N35).
conclusionsThere is a paucity of information in published reports on QoL outcomes following mandible reconstruction with FFF. In the era of patient-centered health care, observations warrant attention from researchers for physician-assessed patient-reported measures to factor in QoL expectation during surgical decision-making about the choice of reconstruction.
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Registered trials
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.