Volume 41, Issue 1 pp. 248-255

CLINICAL REVIEW

A systematic review of validated tools assessing functional and aesthetic outcomes following fibula free flap reconstruction of the mandible

Ivana Petrovic DMD,

Ivana Petrovic DMD

Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

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Hina Panchal MD MPH,

Hina Panchal MD MPH

orcid.org/0000-0001-6366-1672

Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

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Paula Demetrio De Souza Franca MD,

Paula Demetrio De Souza Franca MD

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York

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Marisol Hernandez MLS MA,

Marisol Hernandez MLS MA

Medical Library, Memorial Sloan Kettering Cancer Center, New York, New York

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Colleen C. McCarthy MD MPH,

Colleen C. McCarthy MD MPH

Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

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Jatin P. Shah MD, PhD,

Corresponding Author

Jatin P. Shah MD, PhD

[email protected]

orcid.org/0000-0002-6444-6592

Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

Correspondence

Jatin P Shah, Head and Neck Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065.

Email: [email protected]

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Ivana Petrovic DMD,

Ivana Petrovic DMD

Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

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Hina Panchal MD MPH,

Hina Panchal MD MPH

orcid.org/0000-0001-6366-1672

Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

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Paula Demetrio De Souza Franca MD,

Paula Demetrio De Souza Franca MD

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York

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Marisol Hernandez MLS MA,

Marisol Hernandez MLS MA

Medical Library, Memorial Sloan Kettering Cancer Center, New York, New York

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Colleen C. McCarthy MD MPH,

Colleen C. McCarthy MD MPH

Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

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Jatin P. Shah MD, PhD,

Corresponding Author

Jatin P. Shah MD, PhD

[email protected]

orcid.org/0000-0002-6444-6592

Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York

Correspondence

Jatin P Shah, Head and Neck Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065.

Email: [email protected]

Search for more papers by this author

First published: 12 December 2018

https://doi.org/10.1002/hed.25452

Citations: 28

Funding information: National Cancer Institute, Grant/Award Number: P30 CA008748

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Abstract

Background

Segmental 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.

Methods

Following 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.

Results

Of 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).

Conclusions

There 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.

CONFLICT OF INTEREST

The authors declare that they have no conflicts of interest with the contents of this article.

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Volume41, Issue1

January 2019

Pages 248-255

A systematic review of validated tools assessing functional and aesthetic outcomes following fibula free flap reconstruction of the mandible

Abstract

Background

Methods

Results

Conclusions

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

Information

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A systematic review of validated tools assessing functional and aesthetic outcomes following fibula free flap reconstruction of the mandible

Abstract

Background

Methods

Results

Conclusions

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

Related

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