Evidence map›Paper›PMID 40535691›Full record

ArticleAmerican journal of translational research2025

Donor site outcomes and functional recovery are improved with superficial inferior epigastric artery perforator flap compared to radial forearm flap in oral and maxillofacial reconstruction.

Jian Sun, Ying Huang, Yixi Wang, Daihong Liu, Hui Zhao

Abstract read
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Article in American journal of translational research, 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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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper 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

5 authors.

Jian SunOral and Maxillofacial Surgery, The Second Hospital and Clinical Medical School, Lanzhou University No. 82 Cuiyingmen, Chengguan District, Lanzhou 730010, Gansu, China.
Ying HuangOral and Maxillofacial Surgery, The Second Hospital and Clinical Medical School, Lanzhou University No. 82 Cuiyingmen, Chengguan District, Lanzhou 730010, Gansu, China.
Yixi WangOral and Maxillofacial Surgery, The Second Hospital and Clinical Medical School, Lanzhou University No. 82 Cuiyingmen, Chengguan District, Lanzhou 730010, Gansu, China.
Daihong LiuDepartment of Burn and Plastic Surgery, The Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine No. 5 Weiyang West Road, Qindu District, Xianyang 712000, Shaanxi, China.
Hui ZhaoDepartment of Plastic Surgery, Xi'an Damai Hair Transplant Technology Co. Ltd No. 239 Keji Road, Lianhu District, Xi'an 710000, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the efficacy of the superficial inferior epigastric artery perforator (SIEA) flap and radial forearm (FA) flap in reconstructing oral and maxillofacial soft tissue defects, with emphasis on donor site complications, functional recovery, aesthetic outcomes, and quality of life.

methodsA retrospective analysis was conducted on 204 patients who underwent SIEA (n = 104) or FA (n = 100) flap reconstruction between 2014 and 2023. Outcomes assessed included flap survival, donor site complications (scarring, sensory abnormalities), functional recovery (mouth opening, speech clarity), and quality of life (based on UW-QOL). Statistical analysis included chi-square tests, t-tests, and logistic regression.

resultsFlap survival rates were similar between groups (P = 0.411). However, the SIEA group exhibited significantly better donor site outcomes: fewer sensory abnormalities (P < 0.001), less severe scarring (P < 0.001), and greater aesthetic satisfaction (P = 0.027). Functional outcomes also favored the SIEA flap, with improved mouth opening (P = 0.024) and speech clarity (P < 0.001). However, SIEA reconstruction required longer operative time (P < 0.001). Independent risk factors for delayed donor site healing included age ≥ 60 years, BMI ≥ 23 kg/m

conclusionThe SIEA flap offers superior donor site aesthetics, sensory preservation, and functional recovery compared to the FA flap, though it is associated with longer operative time. The FA flap remains a reliable option. Preoperative planning should consider individualized flap selection based on vascular anatomy, comorbidities, and aesthetic goals.

Indexed as

donor site morbidityfunctional recoveryOral and maxillofacial defectsquality of liferadial forearm flapsuperficial inferior epigastric artery perforator flap

Identifiers

PMID40535691
PMCPMC12170411

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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.