Evidence map›Paper›PMID 33657862›Full record

ArticleThe Annals of otology, rhinology, and laryngology2021

Autologous Free Dermal-Fat-Fascial Graft for Parotidectomy Defects: A Case Series.

Aliasghar A Mianroodi, Sadaf Mohtashami, Nahir Romero, Andrew Fuson, Arjun Joshi, Nader Sadeghi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Annals of otology, rhinology, and laryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. [Preparation of vascularized forearm dermal fat flap and repairing of donor site].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  4. Article
  5. The evolving landscape of salivary gland tumors.CA: a cancer journal for clinicians
    Review
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

6 authors at 2 institutions in 2 countries.

Aliasghar A MianroodiDivision of Otolaryngology-Head and Neck Surgery, George Washington University, Washington, DC, USA.
Sadaf MohtashamiDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, QC, Canada.ORCID https://orcid.org/0000-0002-6841-0351
Nahir RomeroDivision of Otolaryngology-Head and Neck Surgery, George Washington University, Washington, DC, USA.
Andrew FusonDivision of Otolaryngology-Head and Neck Surgery, George Washington University, Washington, DC, USA.
Arjun JoshiDivision of Otolaryngology-Head and Neck Surgery, George Washington University, Washington, DC, USA.
Nader SadeghiDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, QC, Canada.
George Washington University · USMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrey's syndrome and facial asymmetry from loss of parotid tissue are long-term sequelae of parotid surgeries causing significant morbidity. Various techniques have been used to fill the parotidectomy defect, preserve facial contour symmetry, and prevent Frey's syndrome. Free dermal-fat-fascial graft (DFFG) is one such technique; however, its use is largely undocumented in the literature. In this case series, we investigate the efficacy of free DFFG in reconstructing parotidectomy defects at 2 tertiary care centers. MATERIALS AND

methodsMedical records of 54 patients who underwent primary parotidectomy and immediate reconstruction with autologous abdominal free DFFG by 2 surgeons in George Washington University Hospital and McGill University Health Centre between 2007 and 2019 were collected prospectively. Patients responded to 2 questionnaires addressing postoperative outcomes.

resultsFifty-four patients were included; 32 superficial parotidectomies and 22 total parotidectomies were performed for 39 benign and 15 malignant tumors. Thirty-seven patients could be reached. Out of 37 patients who responded to the first questionnaire, 59% (22) reported complete facial symmetry, 27% (10) reported mild hollowness, and 14% (5) reported mild fullness. None declared noticeable hollowness or fullness. While 81% (30) did not experience Frey's syndrome, 5.4% (2) experienced mild symptoms without disability, and 13.5% (5) experienced debilitating symptoms. Out of 37 patients, 8 patients responded to a second questionnaire addressing the outcome of the abdominal graft donor site. In regard to the donor site, 87.5% (7) were satisfied or very satisfied from its cosmetic appearance, 75% (6) were not bothered by its cosmetic appearance, and 87.5% (7) had no discomfort at the graft donor site. Patients did not report any other symptom at the graft donor site.

conclusionIn this large series of total parotidectomies including malignant pathologies, autologous abdominal free DFFG effectively prevented Frey's syndrome and preserved facial cosmesis in most patients.

Indexed as

Surgical FlapsAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedParotid GlandParotid NeoplasmsProspective StudiesSkin TransplantationTransplantation, AutologousYoung Adultfacial contourfree dermal-fat-fascial graftFrey’s syndromegustatory neuralgiaparotidectomy

Identifiers

PMID33657862
PMCPMC8385583
OpenAlexW3133518422

What OpenQuestion holds

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LicenceCC BY
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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.