Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma
Abstract Objectives This study aimed to investigate the relationship between postoperative reconstructed tongue flap volume (RTFV) and body mass index (BMI) and identify factors affecting the flap volume in patients with tongue squamous cell carcinoma. Methods Thirty‐two patients were evaluated for...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.1131 |
| _version_ | 1827782892512608256 |
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| author | Mitsuko Saito Ayako Nakane Rieko Asaumi Yuko Kagifuku Miki Ishii Shohei Hasegawa Kanako Yoshimi Kohei Yamaguchi Kazuharu Nakagawa Hideaki Hirai Takeshi Kuroshima Hirofumi Tomioka Haruka Tohara |
| author_facet | Mitsuko Saito Ayako Nakane Rieko Asaumi Yuko Kagifuku Miki Ishii Shohei Hasegawa Kanako Yoshimi Kohei Yamaguchi Kazuharu Nakagawa Hideaki Hirai Takeshi Kuroshima Hirofumi Tomioka Haruka Tohara |
| author_sort | Mitsuko Saito |
| collection | DOAJ |
| description | Abstract Objectives This study aimed to investigate the relationship between postoperative reconstructed tongue flap volume (RTFV) and body mass index (BMI) and identify factors affecting the flap volume in patients with tongue squamous cell carcinoma. Methods Thirty‐two patients were evaluated for RTFV from computed tomography images and BMI. The first and second evaluations were done at 6 months and 1.5 years after surgery respectively. RTFV rate changes and BMI differences from the first and second evaluations were calculated. The correlation between RTFV rate change and BMI difference was assessed using Spearman's rank correlation coefficient. Multiple regression analysis evaluated the relationship between the flap volume rate change and age, sex, flap type, and BMI difference to identify influencing factors. Results The flap volume rate change and BMI difference correlated significantly (r = .594, p < .05). BMI difference and flap type were independent factors that affected reconstructed flap volume rate change in multiple regression analysis (p < .05). Conclusion The flap volume of patients with tongue squamous cell carcinoma correlates with the BMI change in the chronic phase. Patients after tongue reconstruction need to be well nourished to maintain BMI and thus postoperative tongue volume to maintain the quality of life. Level of Evidence Level 3. |
| first_indexed | 2024-03-11T15:39:23Z |
| format | Article |
| id | doaj.art-9a12c639e2b045a0a8e0371aa8f61190 |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-03-11T15:39:23Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-9a12c639e2b045a0a8e0371aa8f611902023-10-26T12:36:34ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-10-01851210121610.1002/lio2.1131Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinomaMitsuko Saito0Ayako Nakane1Rieko Asaumi2Yuko Kagifuku3Miki Ishii4Shohei Hasegawa5Kanako Yoshimi6Kohei Yamaguchi7Kazuharu Nakagawa8Hideaki Hirai9Takeshi Kuroshima10Hirofumi Tomioka11Haruka Tohara12Division of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDepartment of Oral and Maxillofacial Radiology, School of Life Dentistry at Tokyo The Nippon Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanDivision of Oral Health Sciences, Department of Oral and Maxillofacial Surgical Oncology, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo JapanDivision of Oral Health Sciences, Department of Oral and Maxillofacial Surgical Oncology, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo JapanDivision of Oral Health Sciences, Department of Oral and Maxillofacial Surgical Oncology, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo JapanDivision of Gerontology and Gerodontology Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tokyo JapanAbstract Objectives This study aimed to investigate the relationship between postoperative reconstructed tongue flap volume (RTFV) and body mass index (BMI) and identify factors affecting the flap volume in patients with tongue squamous cell carcinoma. Methods Thirty‐two patients were evaluated for RTFV from computed tomography images and BMI. The first and second evaluations were done at 6 months and 1.5 years after surgery respectively. RTFV rate changes and BMI differences from the first and second evaluations were calculated. The correlation between RTFV rate change and BMI difference was assessed using Spearman's rank correlation coefficient. Multiple regression analysis evaluated the relationship between the flap volume rate change and age, sex, flap type, and BMI difference to identify influencing factors. Results The flap volume rate change and BMI difference correlated significantly (r = .594, p < .05). BMI difference and flap type were independent factors that affected reconstructed flap volume rate change in multiple regression analysis (p < .05). Conclusion The flap volume of patients with tongue squamous cell carcinoma correlates with the BMI change in the chronic phase. Patients after tongue reconstruction need to be well nourished to maintain BMI and thus postoperative tongue volume to maintain the quality of life. Level of Evidence Level 3.https://doi.org/10.1002/lio2.1131body mass indexflap volume changesreconstructive surgerytongue squamous cell carcinoma |
| spellingShingle | Mitsuko Saito Ayako Nakane Rieko Asaumi Yuko Kagifuku Miki Ishii Shohei Hasegawa Kanako Yoshimi Kohei Yamaguchi Kazuharu Nakagawa Hideaki Hirai Takeshi Kuroshima Hirofumi Tomioka Haruka Tohara Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma Laryngoscope Investigative Otolaryngology body mass index flap volume changes reconstructive surgery tongue squamous cell carcinoma |
| title | Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma |
| title_full | Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma |
| title_fullStr | Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma |
| title_full_unstemmed | Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma |
| title_short | Free‐flap volume correlates with body mass index in patients with tongue squamous cell carcinoma |
| title_sort | free flap volume correlates with body mass index in patients with tongue squamous cell carcinoma |
| topic | body mass index flap volume changes reconstructive surgery tongue squamous cell carcinoma |
| url | https://doi.org/10.1002/lio2.1131 |
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