الفهرس | Only 14 pages are availabe for public view |
Abstract This was a randomized controlled clinical trial that was conducted on 20 patients of tongue SCC and required a hemi glossectomy and reconstruction by an ALT flap. Patients were recruited into 2 groups a study group and a control group 10 patients in each. Patients in the study group had their ALT flap virtually planned preoperatively while those in the control group had their ALT flap design based on the surgeon’s experience. Both groups have been evaluated clinically and radiographically to determine volume sufficiency of ALT flap in relation to the defect size and to assess for function (including speech and swallowing.). Results of both groups were statistically analyzed, and clinical data of the study group was compared to that of the control group during pre-operative and 1- and 6-months post-operative using one-way ANOVA test to compare means. After comparison of both groups, it revealed that there was significant difference in speech function between study and control groups at 1-month post-operatively (p= 0.002) while during preoperative assessment and 6 months post-operative periods there were no significant difference between both groups regarding the speech (p= 0.643 for preoperative and p= 0.218 for 6 months postoperative). For radiographic assessment, statistical analysis showed that in the study group there were no significant difference between preoperative volume and 6 months postoperative volume p=0.875. Also, there were no significant difference between the preoperative plane volume and 1-month postoperative p=0.875. While in the control group there were significant difference between preoperative and 1-month postoperative volume p<0.05 also between preoperative and 6 months postoperative there were significant difference p=0.007. |