Evidence map›Paper›PMID 39526418›Full record

ArticleHead & neck2025

Maxillary Sinus Mucosa Preservation Versus Mucosal Sacrifice: Radiographic Outcomes After Inferior Maxillectomy and Soft-Tissue Free Flap Reconstruction.

Ya-Hsuan Yu, Rushil Rajiv Dang, Wan-Shiun Fan, Min-Chi Chen, Yu-Feng Hu, Chung-Kang Tsao, Po-Wen Chuang, Ellen Michelle Lee, Chi-Kuang Young, Chun-Ta Liao and 2 more

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

Article in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Ya-Hsuan YuDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Rushil Rajiv DangPlastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.ORCID 0000-0001-6583-7096
Wan-Shiun FanCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Min-Chi ChenDepartment of Public Health and Biostatistics Consulting Center, Chang Gung University, Taoyuan, Taiwan.
Yu-Feng HuDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chung-Kang TsaoPlastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Po-Wen ChuangDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.ORCID 0009-0000-4776-2262
Ellen Michelle LeeDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chi-Kuang YoungDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chun-Ta LiaoDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.ORCID 0000-0002-3677-4249
Chung-Jan KangDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Shiang-Fu HuangDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.ORCID 0000-0003-3582-9938

Funding

Chang Gung Memorial Hospital CMRPG3M1103Ministry of Science and Technology, Executive Yuan, Taiwan MOST110-2314-B-182-045-MY3National Science and Technology Council, Executive Yuan, Taiwan NSTC 113-2314-B-182-018
6 · The paper itself

Abstract

backgroundThis study evaluates the impact of maxillary sinus mucosa preservation on radiographic outcomes after an inferior maxillectomy and soft-tissue free flap reconstruction.

methodsA total of 90 patients in two cohorts (mucosal sacrifice versus mucosa preservation) were evaluated from an institutional dataset. Imaging was reviewed at set time points and sinus scores were allotted based on a modification of the Lund-MacKay system. Patients were evaluated for changes in sinus scores. A univariate (UVA) and multivariate (MVA) analysis was performed.

resultsIn gp1 (mucosal sacrifice), mean postoperative sinus score was 1.21 ± 1.30 (p = < 0.001) at 24 months. On UVA, advanced T-stage at 12 months (OR 7.143, 95% CI 1.484-34.384, p = 0.014) and 24 months (OR 5.500, 95% CI 1.219-24.813, p = 0.027), and on MVA, advanced T-stage were associated with increased odds for higher sinus score (OR 4.993, 95% CI 1.084-22.995, p = 0.039). In Gp2 (Mucosa preserved), the mean postoperative sinus score was 0.31 ± 0.47 (p = 0.021) at 24 months. On UVA and MVA, no predictors were identified for a higher sinus score.

conclusionFollowing an inferior maxillectomy and soft-tissue free flap reconstruction, notably reduced sinus scores were seen in patients with preservation of the remaining maxillary sinus mucosa.

Indexed as

Carcinoma, Squamous CellFree Tissue FlapsMaxillary SinusNasal MucosaPlastic Surgery ProceduresAdultAgedCohort StudiesFemaleHumansMaleMaxillaMiddle AgedRetrospective StudiesTomography, X-Ray ComputedTreatment Outcomefree flapmaxillary sinusmaxillectomyOral cancerreconstruction

Identifiers

PMID39526418
PMCPMC11816554

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