PMID- 33100752
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220417
IS  - 0974-7796 (Print)
IS  - 0974-7834 (Electronic)
IS  - 0974-7796 (Linking)
VI  - 12
IP  - 3
DP  - 2020 Jul-Sep
TI  - Objective assessment of mouth opening after buccal mucosal graft urethroplasty: A 
      prospective study.
PG  - 259-265
LID - 10.4103/UA.UA_84_19 [doi]
AB  - INTRODUCTION AND OBJECTIVES: Buccal mucosal graft (BMG) is frequently used for 
      the reconstruction of urethral strictures with acceptable donor-site morbidity 
      after graft harvest. There are only a few prospectively designed studies with a 
      small number of patients reporting oral complications, particularly the mouth 
      opening in the long terms. We did an objective assessment of mouth opening before 
      and after 6 months of BMG urethroplasty as well as pain scores. MATERIALS AND 
      METHODS: Fifty-eight patients who underwent BMG urethroplasty were included in 
      the study between May 2013 and December 2014. Preoperative mouth opening 
      (reference point between two incisors with the highest of three readings taken as 
      final) was measured using a Vernier caliper. Harvest site was left open to heal 
      by secondary intentions. Postoperatively, mouth opening and pain scores using 
      self-administered (Visual Analog Scale [VAS]) assessed on day 1 and day 3, and 
      follow-up at 1 week, 1 month, and 6 months. Data were analyzed as mean (standard 
      deviation [SD]), proportion, and median (inter-quartile range [IQR]) with 
      two-tailedP < 0.05 as statistically significant. RESULTS: The mean age was 39.6 
      years. The graft was harvested from a single cheek in 50% of patients. In 
      remaining, it was taken from both cheeks, both cheeks with lip, and both cheeks 
      with the tongue in 29.31%, 17.24%, and 3.5%, of patients, respectively. 
      Preoperative mouth opening (5.13 cm [0.08]) was statistically significantly more 
      than mouth opening on day 1 (4.34 cm [0.09]), day 3 (4.48 [0.09]), and day 7 
      (4.69 cm [0.09]). Mean difference became insignificant at the interval of 1 month 
      (4.91 cm [0.09]) with 6 months' values showing marginal improvement over 
      preoperative values (5.14 cm [0.07]). Pain was tolerable and patients reported 
      low median VAS 2 (2-4) on day 1 and day 3 each. Reported median VAS became 0 
      (0-0) on day 7. CONCLUSION: Mouth opening restriction after BMG urethroplasty is 
      a definite entity in the initial postoperative period, which becomes 
      nonsignificant by 6 months. The pain has no effect on mouth opening.
CI  - Copyright: (c) 2020 Urology Annals.
FAU - Patel, Kaushal
AU  - Patel K
AD  - Department of Urology and Kidney Transplantation, Sri Sathya Sai Institute of 
      Higher Medical Sciences, Anantapur, Andhra Pradesh, India.
FAU - Kalathia, Jaisukh
AU  - Kalathia J
AD  - Department of Urology and Kidney Transplantation, Sri Aurobindo Institute of 
      Medical Sciences, Indore, Madhya Pradesh, India.
FAU - Krishnamoorthy, Venkatesh
AU  - Krishnamoorthy V
AD  - Department of Urology and Kidney Transplantation, Sri Sathya Sai Institute of 
      Higher Medical Sciences, Anantapur, Andhra Pradesh, India.
LA  - eng
PT  - Journal Article
DEP - 20200717
PL  - India
TA  - Urol Ann
JT  - Urology annals
JID - 101510823
PMC - PMC7546065
OTO - NOTNLM
OT  - Buccal mucosa graft
OT  - mouth opening
OT  - urethroplasty
COIS- There are no conflicts of interest.
EDAT- 2020/10/27 06:00
MHDA- 2020/10/27 06:01
PMCR- 2020/07/01
CRDT- 2020/10/26 05:19
PHST- 2019/06/21 00:00 [received]
PHST- 2019/12/23 00:00 [accepted]
PHST- 2020/10/26 05:19 [entrez]
PHST- 2020/10/27 06:00 [pubmed]
PHST- 2020/10/27 06:01 [medline]
PHST- 2020/07/01 00:00 [pmc-release]
AID - UA-12-259 [pii]
AID - 10.4103/UA.UA_84_19 [doi]
PST - ppublish
SO  - Urol Ann. 2020 Jul-Sep;12(3):259-265. doi: 10.4103/UA.UA_84_19. Epub 2020 Jul 17.