title: Oral complications after lingual mucosal graft harvesting for urethroplasty in 110 cases.
abstract: OBJECTIVE • This study was to evaluate donor-site complications of lingual mucosal graft harvesting for substitution urethroplasty. PATIENTS AND METHODS • 110 patients with anterior urethral strictures or hypospadias underwent lingual mucosal grafts (LMGs) urethroplasty. Dual LMGs were harvested from both sites separately or a long mucosal graft was harvested from one side to other side of tongue in 29 patients (group one); a shorter mucosal graft was harvested from one side of tongue in 81 patients (group two). A standard proforma (Appendix) was used for all patients. RESULTS • The mean follow up time was 22 months (range 6~41). At six months follow-up, numbness of tongue was reported in 19 patients (17.27%), parageusias in six (5.45%) and slurring of speech in 9 (8.18%). • Ninety-six patients were followed up for more than 12 mo. Numbness in operative area of tongue was documented in seven patients (7.29%), parageusias in three (3.13%) and slurred speech in three (3.13%). • None of these complications occurred in the six pediatric cases (<14 year) with a history of failed hypospadias repair. CONCLUSIONS • LMGs urethroplasty, as most patients, were satisfied, but there were certain complications that have not been previously described in the literature. • Most oral complications subsided gradually within the first year.
authors.affiliation: Department of Urology, Sixth People's Hospital, China. xuyuemin@263.net
authors.forename: Yue-Min
authors.initials: YM
authors.lastname: Xu
authors.forename: Qing-Kang
authors.initials: QK
authors.lastname: Xu
authors.forename: Qiang
authors.initials: Q
authors.lastname: Fu
authors.forename: Ying-Long
authors.initials: YL
authors.lastname: Sa
authors.forename: Jiong
authors.initials: J
authors.lastname: Zhang
authors.forename: Lu-Jie
authors.initials: LJ
authors.lastname: Song
authors.forename: Xiao-Yong
authors.initials: XY
authors.lastname: Hu
authors.forename: Chao
authors.initials: C
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D011183:Postoperative Complications / Q000209:etiology*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D014059:Tongue / Q000637:transplantation*; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000601:surgery*; D014945:Wound Healing; D055815:Young Adult