Revisão Revisado por pares

The Oral Mucosa Graft: A Systematic Review

2007; Lippincott Williams & Wilkins; Volume: 178; Issue: 2 Linguagem: Inglês

10.1016/j.juro.2007.03.094

ISSN

1527-3792

Autores

Michael R. Markiewicz, Melissa A. Lukose, Joseph E. Margarone, Guido Barbagli, K. Miller, Sung‐Kiang Chuang,

Tópico(s)

Congenital Anomalies and Fetal Surgery

Resumo

No AccessJournal of UrologyReview article1 Aug 2007The Oral Mucosa Graft: A Systematic Review Michael R. Markiewicz, Melissa A. Lukose, Joseph E. Margarone, Guido Barbagli, Kennon S. Miller, and Sung-Kiang Chuang Michael R. MarkiewiczMichael R. Markiewicz School of Dental Medicine, University at Buffalo, Buffalo, New York The Harvard School of Public Health, Boston, Massachusetts The Center for Applied Clinical Investigation, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts , Melissa A. LukoseMelissa A. Lukose School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York , Joseph E. MargaroneJoseph E. Margarone Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, New York , Guido BarbagliGuido Barbagli Center for Reconstructive Urethral Surgery, Arezzo, Italy , Kennon S. MillerKennon S. Miller Department of Surgery, Division of Urology, Brown Medical School, Providence, Rhode Island , and Sung-Kiang ChuangSung-Kiang Chuang The Center for Applied Clinical Investigation, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts View All Author Informationhttps://doi.org/10.1016/j.juro.2007.03.094AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We provide the reader with a critical, nonbiased, systematic review of current and precedent literature regarding the use of oral mucosa in the reconstruction of urethral defects associated with stricture and hypospadias/epispadias. Materials and Methods: We reviewed pertinent English literature from January 1966 through August 1, 2006 via the databases MEDLINE/PubMed, the Cochrane Library, and EMBASE Drugs and Pharmacology regarding the use of oral mucosa graft urethroplasty in the reconstruction of urethral defects associated with stricture and hypospadias/epispadias. Bibliographies of pertinent articles were explored for additional important literature. Results: Data were stratified among studies that only used oral mucosa graft urethroplasty in the reconstruction of urethral defects associated with stricture, and those that used oral mucosa graft urethroplasty in the reconstruction of urethral defects associated with hypospadias/epispadias. Recipient site success in the reconstruction of defects associated with stricture was significantly associated with the location of graft placement (ventral vs dorsal, p <0.001) when an onlay graft was used. Hypospadias/epispadias recipient site success was significantly associated with the type of graft used (tube vs onlay, p <0.001), and by the site of oral mucosa harvest (labial vs buccal, p <0.001). Other perioperative and patient oriented variables were not significantly associated with success at the recipient site. Conclusions: The oral mucosa is a viable source of donor tissue displaying many characteristics of the ideal urethral graft. There are numerous variations of the oral mucosa graft urethroplasty technique. Herein comparisons are made. References 1 : Optimal management of the 3- to 6-centimeter anterior urethral stricture. Curr Urol Rep2000; 1: 180. Google Scholar 2 : Using buccal mucosa for urethral reconstruction in primary and re-operative surgery. Eur Urol1998; 34: 216. Google Scholar 3 : Reconstruction of the urethral meatus with a buccal mucosa graft. Urol Int1995; 55: 29. Google Scholar 4 : Buccal mucosal graft for hypospadias repairs. Tech Urol1998; 4: 173. 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Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byLee Z, Waldorf B, Cho E, Liu J, Metro M and Eun D (2017) Robotic Ureteroplasty with Buccal Mucosa Graft for the Management of Complex Ureteral StricturesJournal of Urology, VOL. 198, NO. 6, (1430-1435), Online publication date: 1-Dec-2017.Xu Y, Li C, Xie H, Sa Y, Fu Q, Wu D, Zhang J, Feng C, Jin C, Song L, Li H and Liu Y (2017) Intermediate-Term Outcomes and Complications of Long Segment Urethroplasty with Lingual Mucosa GraftsJournal of Urology, VOL. 198, NO. 2, (401-406), Online publication date: 1-Aug-2017.Fine R, Reda E, Zelkovic P, Gitlin J, Freyle J, Franco I and Palmer L (2015) Tunneled Buccal Mucosa Tube Grafts for Repair of Proximal HypospadiasJournal of Urology, VOL. 193, NO. 5S, (1813-1818), Online publication date: 1-May-2015.Barbagli G, Fossati N, Sansalone S, Larcher A, Romano G, Dell'Acqua V, Guazzoni G and Lazzeri M (2013) Prediction of Early and Late Complications after Oral Mucosal Graft Harvesting: Multivariable Analysis from a Cohort of 553 Consecutive PatientsJournal of Urology, VOL. 191, NO. 3, (688-693), Online publication date: 1-Mar-2014.Leslie B, Lorenzo A, Figueroa V, Moore K, Farhat W, Bägli D and Pippi Salle J (2011) Critical Outcome Analysis of Staged Buccal Mucosa Graft Urethroplasty for Prior Failed Hypospadias Repair in ChildrenJournal of Urology, VOL. 185, NO. 3, (1077-1082), Online publication date: 1-Mar-2011.Goyal A, Singh M and Dickson A (2010) Oral Mucosa Graft for Repair of Hypospadias: Outcomes at PubertyJournal of Urology, VOL. 184, NO. 6, (2504-2509), Online publication date: 1-Dec-2010.Castagnetti M, Ghirardo V, Capizzi A, Andretta M and Rigamonti W (2008) Donor Site Outcome After Oral Mucosa Harvest for Urethroplasty in Children and AdultsJournal of Urology, VOL. 180, NO. 6, (2624-2628), Online publication date: 1-Dec-2008. Volume 178Issue 2August 2007Page: 387-394 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsbuccal mucosahypospadiasepispadiasoral mucosaurethral strictureAcknowledgmentsDr. Gerald Sufrin, Department of Urology, School of Medicine and Biomedical Sciences, University at Buffalo provided insight and critique. Dr. Elizabeth N. Allred, Children's Hospital Boston, Harvard Medical School, and Harvard School of Public Health provided statistical expertise.Metrics Author Information Michael R. Markiewicz School of Dental Medicine, University at Buffalo, Buffalo, New York The Harvard School of Public Health, Boston, Massachusetts The Center for Applied Clinical Investigation, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts More articles by this author Melissa A. Lukose School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York More articles by this author Joseph E. Margarone Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, New York More articles by this author Guido Barbagli Center for Reconstructive Urethral Surgery, Arezzo, Italy More articles by this author Kennon S. Miller Department of Surgery, Division of Urology, Brown Medical School, Providence, Rhode Island More articles by this author Sung-Kiang Chuang The Center for Applied Clinical Investigation, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts More articles by this author Expand All Advertisement PDF downloadLoading ...

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