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Table 1 Overview of the included studies

From: Free versus pedicled flaps for reconstruction of head and neck cancer defects: a systematic review

Article

Ref

Study type

MINORS Scorea

N total

n FF

n PF

Type of free flaps

Type of pedicled flaps

Defect / tumor location

Sinha, 2017 [14]

A

Retrospective review

20

517

384

133

ALT, FibF, RFFF

PMMF, SCAIF, SMIF

N/A

Goyal, 2017 [10]

B

Retrospective review

18

797

589

208

NA

PMMF, SCAIF, SMIF, TEMP, TRPF, DELT

Cutaneous/ skull base

Oral cavity

Oropharynx

Larynx / hypopharynx

Mandibular

Sinonasal

Composite/multiple sites

Li, 2016 [15]

C

Retrospective review

19

41

24

17

RFFF

PMMF

Oral cavity

Kozin, 2016 [5]

D

Retrospective review

20

72

28

45

RFFF, ALT

SCAIF

Cutaneous defect

Parotid/temporal bone

Howard, 2016 [21]

E

Retrospective review

18

31

9

16

ALT

SMIF

Lateral skull base

6

PLDF

Geiger, 2016 [17]

F

Retrospective review

20

105

50

55

39 RFFF, 3 ALT, 4 FibF, 2 theLDF, 2 SFF, 2 ORFF

51 PMMF, 2 DIEP, 2 TPF

N/A

Gao, 2016 [49]

G

Retrospective review

16

60

34

26

RFFF

PMMF

N/A

Forner, 2016 [27]

H

Retrospective review

20

21

12

9

RFFF

SMIF

Oral cavity

Oropharynx

Zhang S, 2015 [32]

I

Retrospective review

19

37

15

12

RFFF

SCAIF

Oral cavity

Zhang X, 2014 [16]

J

Retrospective review

19

110

79

31

ALT

PMMF

Oral cavity

Oropharynx

Jing, 2014 [22]

K

Retrospective review

17

49

22

27

GFMF

PMMF

Larynx

Granzow, 2013 [7]

L

Retrospective review

18

34

16

18

FFF

SCAIF

Larynx / hypopharynx

Parotid

Oral cavity

Esophagus

Deganello, 2013 [11]

M

Retrospective review

18

36

16

20

RFFF

10 TEMP, 10 PMMF

Oral cavity

Oropharynx

Fang, 2013 [12]

N

Retrospective review

18

56

20

24

RFF

PLTM

Oral cavity

12

ALT

Paydarfar, 2011 [23]

O

Retrospective review

20

60

33

27

RFF

SMIF

Oral cavity

Hsing, 2011 [25]

P

Retrospective review

18

100

42

58

N/A

PMMF

Oral cavity

Chan Y, 2011 [35]

Q

Prospective review

18

202

24

92

ALT

PMMF

Hypopharynx

86

FJF

Demirtas, 2010 [18]

R

Retrospective review

20

20

12

8

10 ALT, 2 LDF

PLDF

N/A

O’Neil, 2010 [30]

S

Retrospective review

20

114

77

37

RFFF

PMMF

N/A

Mallet, 2009 [6]

T

Retrospective review

18

70

25

45

18 RFFF, 3 LD, 3 ALT, 1 PCFF, 1 FJF

PMMF

Oral cavity

Oropharynx

de Bree, 2007 [20]

U

Retrospective review – Matched cohort

19

80

40

40

RFFF

PMMF

Oral cavity

Oropharynx

Smeele, 2006 [29]

V

Retrospective – Matched cohort

20

64

32

32

N/A

PMMF

Oral cavity

Oropharynx

Chien, 2005 [26]

W

Case series

17

27

11

16

RFFF

PBFPF

Oral cavity

Chepeha, 2004 [8]

X

Retrospective review

19

179

71

108

N/A

PMMF

Oral cavity

Oropharynx

Hypopharynx

Neck

Others

Funk, 2002 [19]

Y

Case-control, matched pairs study

20

42

21

21

FTT

N/A

Oral cavity

Oropharynx

Hypopharynx

Larynx

Petruzzelli, 2002 [31]

Z

Retrospective review

18

39

24

15

FTT

N/A

N/A

Amarante, 2000 [34]

Aa

Case-series

6

117

49

68

23 RFFF, 3 ORFF, 2 CFF, 5 LDF, 5 RAFF, 3 MSA, 2 PSFF, 2 ICC, 1 GOM, 3 FJF

47 PMMF, 7 PLDF, 2 PLTM, 9 TEMP, 3 MEC

Orbit

Parotid

Skull base

Oropharynx

Larynx / hypopharynx

Mandibular

Neck

Tsue, 1997 [24]

Ab

Retrospective review

19

53

29

24

N/A

PMMF

Oral cavity

Oropharynx

Kroll, 1997 [13]

Ac

Retrospective review

17

178

145

33

89 RFFF, 56 RAFF

PMMF

Oral cavity

Oropharynx

Kroll 1992 [33]

Ad

Retrospective review

18

69

30

39

RAFF

PMMF

N/A

  1. Ref: Reference in subsequent tables
  2. aMINORS score ranges from 0 to 24. A value ≥20 indicates low risk of bias
  3. Flaps abbreviatiation: ALT Anterolateral thigh, CFF Cubital forearm flap, DELT Deltopectoralis, DIEP Deep inferior epigastric perforator flap, FibF Fibular free flap, FFF free fasciocutaneous flap, FTT Microvascular free tissue transfer, FJF Free jejunal flap, GFMF Gracilis free muscle flap, GOM Greater Omentum, ICC Iliac crest, LDF Latissimus dorsi free flap, MEC musculocutaneous sternocleidomastoid flap, MSA Muscular serratus anterior, N/A Not available, ORFF Oesteocutaneous Radial free flap, PBFF pedicled buccal fat flap, PCFF Pectoralis major free flap, PLTM Platysma myocutaneous island flap, PLDF Pedicled latissiums mucocutaneous dorsi flap, PMMF Pectoralis major pedicled flap, PSFF Parascapular free flap, RFFF Radial forearm free flap, RAFF Rectus abdominis free flap, SCAIF Supraclavicular artery island flap, SMIF Submental Island flap, TEMP Temporal flap, TRPF Trapezius flap