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European UrologyVolume 58, issue 1, pages e1-e18, July 2010
Morbidity of Oral Mucosa Graft Harvesting from a Single Cheek
Accepted 8 January 2010, Published online 19 January 2010, pages 33 - 41
- Patients and methods
The oral mucosa (OM) is a popular substitute for urethroplasty.
The aim of this study was to investigate oral morbidity and patient satisfaction in a homogeneous group of patients who underwent OM harvesting.
Design, setting, and participants
This study is a prospective analysis of 350 patients who underwent OM harvesting from a single cheek.
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.
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.
Results and limitations
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.”
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.
Keywords: Oral mucosa, Urethroplasty, Urethral stricture, Cheek, Postoperative complications, Quality of life.
© 2010 European Association of Urology, Published by Elsevier B.V.
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