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Neurotization of the radial forearm free flap improves swallowing outcomes in hemiglossectomy defects
dc.contributor.authorMarchiano, Emily
dc.contributor.authorKana, Lulia
dc.contributor.authorBellile, Emily
dc.contributor.authorSmith, Joshua D.
dc.contributor.authorCasper, Keith A.
dc.contributor.authorMalloy, Kelly M.
dc.contributor.authorChinn, Steven B.
dc.contributor.authorStucken, Chaz L.
dc.contributor.authorPrince, Mark E. P.
dc.contributor.authorChepeha, Douglas B.
dc.contributor.authorRosko, Andrew J.
dc.contributor.authorSpector, Matthew E.
dc.date.accessioned2023-04-04T17:38:39Z
dc.date.available2024-05-04 13:38:38en
dc.date.available2023-04-04T17:38:39Z
dc.date.issued2023-04
dc.identifier.citationMarchiano, Emily; Kana, Lulia; Bellile, Emily; Smith, Joshua D.; Casper, Keith A.; Malloy, Kelly M.; Chinn, Steven B.; Stucken, Chaz L.; Prince, Mark E. P.; Chepeha, Douglas B.; Rosko, Andrew J.; Spector, Matthew E. (2023). "Neurotization of the radial forearm free flap improves swallowing outcomes in hemiglossectomy defects." Head & Neck 45(4): 798-805.
dc.identifier.issn1043-3074
dc.identifier.issn1097-0347
dc.identifier.urihttps://hdl.handle.net/2027.42/176014
dc.description.abstractBackgroundWe examined the effect of free tissue neurotization on speech and swallowing outcomes for patients undergoing reconstruction of hemiglossectomy defects with a radial forearm free flap (RFFF).MethodsA retrospective study was performed in patients with oral cavity squamous cell carcinoma undergoing a hemiglossectomy and reconstruction with a RFFF. Functional outcomes including nutritional mode, range of liquids and solids, and speech understandability were analyzed 1-year post-treatment.ResultsEighty-four patients were included in this analysis, 41 of whom had neurotized flaps (49%). No significant differences in demographic or clinical variables were seen between the neurotized and non-neurotized groups. On multivariate analysis controlling for BMI, flap area, and N-classification, patients with neurotized flaps were significantly more likely to have normal range of liquids and solids and less likely to have a G-tube.ConclusionsNeurotization of RFFF reconstructing hemiglossectomy defects results in decreased G-tube dependence and improved range of liquids and solids.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otheroral cavity
dc.subject.otherneurotization of free flap
dc.subject.otherhemiglossectomy
dc.subject.othernerve graft
dc.subject.othersensate radial forearm free flap
dc.titleNeurotization of the radial forearm free flap improves swallowing outcomes in hemiglossectomy defects
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelOtolaryngology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176014/1/hed27290_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176014/2/hed27290.pdf
dc.identifier.doi10.1002/hed.27290
dc.identifier.sourceHead & Neck
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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