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Erschienen in: Oral Radiology 3/2021

12.11.2020 | Original Article

Effect of postoperative radiotherapy for free flap volume changing after tongue reconstruction

verfasst von: Masae Yamazaki, Taiki Suzuki, Chiho Hiraga, Yoshifumi Yoshida, Akira Baba, Hirokazu Saitou, Satoru Ogane, Takako Fujii, Masayuki Takano, Akira Katakura, Ichiro Tanaka, Takeshi Nomura, Nobuo Takano

Erschienen in: Oral Radiology | Ausgabe 3/2021

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Abstract

Objective

The purpose of this study was to evaluate the effect of postoperative radiotherapy (RT) on temporal volume changes with a cutaneous free flap (CF) and a myocutaneous free flap (MCF).

Methods

The subjects were 24 men and 11 women (mean age, 50.5 ± 15.5 years) with tongue or floor of mouth cancer. Twenty-seven cases of CF and eight cases of MCF were selected. The flap volume change of the reconstructed tongue was calculated using computed tomography (CT) images taken immediately and at one year postoperatively using the DICOM image processing software OsiriX®.

Results

The reduction rate in flap volume at one year postoperatively was 82.0 ± 15% in CF without RT, 70.3 ± 26.1% in CF with RT, 88.5 ± 14.7% in MCF without RT, and 99.5 ± 16% in MCF with RT. The MCF volume was significantly higher compared to the CF volume. Although postoperative RT reduced the CF volume by 30%, there was only a slight reduction in the MCF volume.

Conclusions

We evaluated the effect of postoperative RT on volume reduction in 35 cases of the reconstructed tongue with CF and MCF using a computer-assisted volume rendering technique. In this study, the effect of RT on volume reduction was different between the CF and MCF.
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Metadaten
Titel
Effect of postoperative radiotherapy for free flap volume changing after tongue reconstruction
verfasst von
Masae Yamazaki
Taiki Suzuki
Chiho Hiraga
Yoshifumi Yoshida
Akira Baba
Hirokazu Saitou
Satoru Ogane
Takako Fujii
Masayuki Takano
Akira Katakura
Ichiro Tanaka
Takeshi Nomura
Nobuo Takano
Publikationsdatum
12.11.2020
Verlag
Springer Singapore
Erschienen in
Oral Radiology / Ausgabe 3/2021
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-020-00489-0

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