- 作者：A.M. Maarouf ; E.R. Elsayed ; A. Ragab ; E. Salem ; A.M.N. Sakr ; M. Omran ; I.I. Abdelmonem ; S.A.S. Khalil ; Khalid Abdalsamad ; Safwat Abouhashem ; A.M.S. Shahin ; M. Eladl
- 关键词：Complex ; Hypospadias ; Buccal ; Versus ; Lingual ; Grafts
- 刊名：Journal of Pediatric Urology
- 出版年：December, 2013
- 年：2013
- 卷：9
- 期：6_part_PA
- 页码：754-758
- 全文大小：155 K
ss="h4">Objectives
To compare surgical outcomes and donor site complications of buccal and lingual mucosa used as ventral onlay graft for complex hypospadias cases.ss="h4">Patients & methods
Forty four cases with complex hypospadias after failed previous surgery were prospectively included. All had severely scarred penile skin with reasonable residual urethral plate. Cases were categorized into two groups: Group I (23) where buccal mucosal graft [BMG] was used and group II (21) where lingual mucosal graft [LMG] was used. Donor site complications as well as functional and esthetic outcomes were recorded for each group.
ss="h4">Results
Mean follow up was 20.8 months (range 12-24). Average graft harvesting time was 24聽min for BMG and 19聽min for LMG. Donor site pain was reported with both techniques but recovery was earlier with LMG. Slurred speech and difficult tongue protrusion were reported with lingual but not buccal grafts; however mouth tightness, peri-oral numbness and persistent oral discomfort were reported only with buccal grafts. Successful urethroplasty was obtained in 78.2% of BMG compared to 76.1% of LMG.
ss="h4">Conclusion
Surgical outcomes of LMG urethroplasty were comparable to those of BMG in complex hypospadias cases. Compared to buccal mucosa, LMG is easy to harvest, with minimal donor site complications.