title: Morbidity of oral mucosa graft harvesting from a single cheek.
abstract: BACKGROUND
  The oral mucosa (OM) is a popular substitute for urethroplasty.
  
  
  OBJECTIVE
  The aim of this study was to investigate oral morbidity and patient satisfaction in a homogeneous group of patients who underwent OM harvesting.
  
  
  METHODS
  This study is a prospective analysis of 350 patients who underwent OM harvesting from a single cheek.
  
  
  METHODS
  The graft was harvested in an ovoid shape with closure of the wound. Standard graft size was 4 cm in length and 2.5 cm in width.
  
  
  METHODS
  Self-administered, nonvalidated semiquantitative (0, absence of complications or symptoms; 3, the worst complication or symptom) questionnaire consisting of six questions was used to investigate early complications, with 13 questions designed to investigate late complications and patient satisfaction.
  
  
  CONCLUSIONS
  Early complications included bleeding, which occurred in 15 patients (4.3%); two patients required immediate surgical revision of the harvesting site. The majority of patients (85.2%) showed no pain, and only 3.7% of patients required use of anti-inflammatory drugs. The majority of patients (65.8%) showed slight or moderate swelling. With respect to late complications, most of the patients (73.4%) reported oral numbness for 1 wk, 22.9% for 1 mo, and 3.77% for 3 mo. Numbness resulting from scarring was absent or slight in most of patients. Changes in oral sensitivity occurred in 2.3% of patients. No difficulties opening the mouth or smiling was found in 98.3% and 99.7% of patients, respectively. Slight or moderate dry mouth was found in 97.1% of patients. In response to the question, "Would you undergo oral mucosa graft harvesting using this technique again," 343 patients (98%) replied "yes," and 7 patients (2%) replied "no."
  
  
  CONCLUSIONS
  The harvesting of an OM ovoid graft from a cheek with closure of the wound is a safe procedure with a high patient satisfaction rate.
authors.affiliation: The Centre for Reconstructive Urethral Surgery, Arezzo, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Barbagli
authors.forename: Santiago
authors.initials: S
authors.lastname: Vallasciani
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Romano
authors.forename: Fabio
authors.initials: F
authors.lastname: Fabbri
authors.forename: Giorgio
authors.initials: G
authors.lastname: Guazzoni
authors.forename: Massimo
authors.initials: M
authors.lastname: Lazzeri
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002610:Cheek; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D017060:Patient Satisfaction; D011446:Prospective Studies; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D013521:Urologic Surgical Procedures, Male; D014945:Wound Healing; D055815:Young Adult