title: Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients--a quality of life analysis.
abstract: We aimed to compare the differences between free flap and pectoralis major myocutaneous flap (PMMF) for reconstruction in oral cavity cancer patients. Patients who received free flap or PMMF reconstruction after ablation surgeries were eligible for the current study. The patients' demographic data, medical history, and quality of life scores were collected and analyzed. A total of 491 patients' records were obtained. Among them, 100 patients completed a quality of life questionnaire. No significant differences could be found in age, morbidity, stage, and hospitalization between the free flap and PMMF groups. However, there were significant differences between both groups in gender, primary site, peri-operative blood loss, and operation duration. Patients reconstructed with free flap had better speech and shoulder functions as well as better mood status. Data from this study provide useful information for physicians and patients during their discussion of treatment modalities for oral cancers.
authors.affiliation: Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Chih-Yu
authors.initials: CY
authors.lastname: Hsing
authors.forename: Yong-Kie
authors.initials: YK
authors.lastname: Wong
authors.forename: Ching Ping
authors.initials: CP
authors.lastname: Wang
authors.forename: Chen-Chi
authors.initials: CC
authors.lastname: Wang
authors.forename: Rong-San
authors.initials: RS
authors.lastname: Jiang
authors.forename: Fun-Jou
authors.initials: FJ
authors.lastname: Chen
authors.forename: Shih-An
authors.initials: SA
authors.lastname: Liu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000601:surgery*; D009062:Mouth Neoplasms / Q000601:surgery*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010369:Pectoralis Muscles; D010865:Pilot Projects; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013060:Speech / Q000502:physiology; D013524:Surgical Flaps / Q000098:blood supply; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014833:Voice Quality