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Head Neck. 2019 Jan;41(1):248-255. doi: 10.1002/hed.25452. Epub 2018 Dec 12.

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

Author information

1
Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
2
Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
3
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
4
Medical Library, Memorial Sloan Kettering Cancer Center, New York, New York.

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.

KEYWORDS:

aesthetics; fibula free flap; function; mandible reconstruction; patient reported outcomes

PMID:
30548509
PMCID:
PMC6339585
[Available on 2020-01-01]
DOI:
10.1002/hed.25452

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