Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study

Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with...
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Gespeichert in:

Autor*in:	Lin, Nan-Chin [verfasserIn] Lin, Shih-Lung [verfasserIn] Tsai, Kuo-Yang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Lower lip reconstruction Forearm free flap Quality of life Lip defect surgery Lower lip carcinoma surgery

Übergeordnetes Werk:	Enthalten in: BMC surgery - London : BioMed Central, 2001, 20(2020), 1 vom: 12. Juni
Übergeordnetes Werk:	volume:20 ; year:2020 ; number:1 ; day:12 ; month:06

Links:	Volltext

DOI / URN:	10.1186/s12893-020-00792-x

Katalog-ID:	SPR040021874

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520			\|a Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap.
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allfields	10.1186/s12893-020-00792-x doi (DE-627)SPR040021874 (SPR)s12893-020-00792-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lin, Nan-Chin verfasserin aut Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap. Lower lip reconstruction (dpeaa)DE-He213 Forearm free flap (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Lip defect surgery (dpeaa)DE-He213 Lower lip carcinoma surgery (dpeaa)DE-He213 Lin, Shih-Lung verfasserin aut Tsai, Kuo-Yang verfasserin aut Enthalten in BMC surgery London : BioMed Central, 2001 20(2020), 1 vom: 12. Juni (DE-627)331018837 (DE-600)2050442-1 1471-2482 nnns volume:20 year:2020 number:1 day:12 month:06 https://dx.doi.org/10.1186/s12893-020-00792-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 12 06
spelling	10.1186/s12893-020-00792-x doi (DE-627)SPR040021874 (SPR)s12893-020-00792-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lin, Nan-Chin verfasserin aut Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap. Lower lip reconstruction (dpeaa)DE-He213 Forearm free flap (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Lip defect surgery (dpeaa)DE-He213 Lower lip carcinoma surgery (dpeaa)DE-He213 Lin, Shih-Lung verfasserin aut Tsai, Kuo-Yang verfasserin aut Enthalten in BMC surgery London : BioMed Central, 2001 20(2020), 1 vom: 12. Juni (DE-627)331018837 (DE-600)2050442-1 1471-2482 nnns volume:20 year:2020 number:1 day:12 month:06 https://dx.doi.org/10.1186/s12893-020-00792-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 12 06
allfields_unstemmed	10.1186/s12893-020-00792-x doi (DE-627)SPR040021874 (SPR)s12893-020-00792-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lin, Nan-Chin verfasserin aut Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap. Lower lip reconstruction (dpeaa)DE-He213 Forearm free flap (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Lip defect surgery (dpeaa)DE-He213 Lower lip carcinoma surgery (dpeaa)DE-He213 Lin, Shih-Lung verfasserin aut Tsai, Kuo-Yang verfasserin aut Enthalten in BMC surgery London : BioMed Central, 2001 20(2020), 1 vom: 12. Juni (DE-627)331018837 (DE-600)2050442-1 1471-2482 nnns volume:20 year:2020 number:1 day:12 month:06 https://dx.doi.org/10.1186/s12893-020-00792-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 12 06
allfieldsGer	10.1186/s12893-020-00792-x doi (DE-627)SPR040021874 (SPR)s12893-020-00792-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lin, Nan-Chin verfasserin aut Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap. Lower lip reconstruction (dpeaa)DE-He213 Forearm free flap (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Lip defect surgery (dpeaa)DE-He213 Lower lip carcinoma surgery (dpeaa)DE-He213 Lin, Shih-Lung verfasserin aut Tsai, Kuo-Yang verfasserin aut Enthalten in BMC surgery London : BioMed Central, 2001 20(2020), 1 vom: 12. Juni (DE-627)331018837 (DE-600)2050442-1 1471-2482 nnns volume:20 year:2020 number:1 day:12 month:06 https://dx.doi.org/10.1186/s12893-020-00792-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 12 06
allfieldsSound	10.1186/s12893-020-00792-x doi (DE-627)SPR040021874 (SPR)s12893-020-00792-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Lin, Nan-Chin verfasserin aut Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap. Lower lip reconstruction (dpeaa)DE-He213 Forearm free flap (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Lip defect surgery (dpeaa)DE-He213 Lower lip carcinoma surgery (dpeaa)DE-He213 Lin, Shih-Lung verfasserin aut Tsai, Kuo-Yang verfasserin aut Enthalten in BMC surgery London : BioMed Central, 2001 20(2020), 1 vom: 12. Juni (DE-627)331018837 (DE-600)2050442-1 1471-2482 nnns volume:20 year:2020 number:1 day:12 month:06 https://dx.doi.org/10.1186/s12893-020-00792-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 20 2020 1 12 06
language	English
source	Enthalten in BMC surgery 20(2020), 1 vom: 12. Juni volume:20 year:2020 number:1 day:12 month:06
sourceStr	Enthalten in BMC surgery 20(2020), 1 vom: 12. Juni volume:20 year:2020 number:1 day:12 month:06
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Lower lip reconstruction Forearm free flap Quality of life Lip defect surgery Lower lip carcinoma surgery
dewey-raw	610
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container_title	BMC surgery
authorswithroles_txt_mv	Lin, Nan-Chin @@aut@@ Lin, Shih-Lung @@aut@@ Tsai, Kuo-Yang @@aut@@
publishDateDaySort_date	2020-06-12T00:00:00Z
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The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). 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author	Lin, Nan-Chin
spellingShingle	Lin, Nan-Chin ddc 610 bkl 44.00 misc Lower lip reconstruction misc Forearm free flap misc Quality of life misc Lip defect surgery misc Lower lip carcinoma surgery Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study
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topic_title	610 ASE 44.00 bkl Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study Lower lip reconstruction (dpeaa)DE-He213 Forearm free flap (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Lip defect surgery (dpeaa)DE-He213 Lower lip carcinoma surgery (dpeaa)DE-He213
topic	ddc 610 bkl 44.00 misc Lower lip reconstruction misc Forearm free flap misc Quality of life misc Lip defect surgery misc Lower lip carcinoma surgery
topic_unstemmed	ddc 610 bkl 44.00 misc Lower lip reconstruction misc Forearm free flap misc Quality of life misc Lip defect surgery misc Lower lip carcinoma surgery
topic_browse	ddc 610 bkl 44.00 misc Lower lip reconstruction misc Forearm free flap misc Quality of life misc Lip defect surgery misc Lower lip carcinoma surgery
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title	Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study
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title_full	Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study
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title_sort	barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study
title_auth	Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study
abstract	Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap.
abstractGer	Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap.
abstract_unstemmed	Background Radial free forearm flaps is indicated patients with total or near-total defects in their lower lip. The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). Conclusions The use of a barrel-shaped design free forearm flap for lower lip reconstruction is an effective procedure and can achieve better results than the use of rectangular free forearm flap.
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title_short	Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study
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The purpose of our study was to evaluate a simple and effective barrel-shaped design of the radial free forearm flap for lower lip reconstruction and to compare its clinical outcomes with those of a conventional rectangular shaped free forearm flap. Methods Twenty-two patients with a lower lip carcinoma who underwent radial forearm free flap reconstructive surgery were enrolled in this study between January 1, 2012, and December 31, 2017. A barrel-shaped design of radial forearm free flap for reconstruction was used in 8 patients (case group), and a rectangular design was used in 14 patients (control group). The patients’ quality of life was evaluated preoperatively and postoperatively in all the patients using the European Organization for Research and Treatment of Cancer Quality of Life (EORTC-HN35) questionnaire. We analyzed the differences in the EORTC QLQ-HN35 scores pre- and postoperatively between the case and control group. Results The patients in the case group had better outcomes in swallowing, speech, social eating, social contact, and dry mouth than the control group at 1-year follow-up (P < 0.05). 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Barrel-shaped design of the forearm free flap for lower lip reconstruction: a pilot case-control study

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