Efficacy of Oral Mucosal Grafting for Nasal, Septal, and Sinonasal Reconstruction: A Systematic Review of the Literature

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Veröffentlicht in:Life vol. 15, no. 8 (2025), p. 1281-1296
1. Verfasser: Santiago Horcajada Marta
Weitere Verfasser: Sánchez Barrueco Alvaro, Aragonés Sanzen-Baker William, Díaz Tapia Gonzalo, Moreno Luna Ramón, Villacampa Aubá Felipe, Cenjor Español Carlos, Villacampa Aubá José Miguel
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022 |a 2075-1729 
024 7 |a 10.3390/life15081281  |2 doi 
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100 1 |a Santiago Horcajada Marta  |u Rhinology Unit, ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; marta.shorcajada@quironsalud.es (M.S.H.); william.aragones@quironsalud.es (W.A.S.-B.); gdiazt@quironsalud.es (G.D.T.); carlos.cenjor@gmail.com (C.C.E.); jmvillacampa@fjd.es (J.M.V.A.) 
245 1 |a Efficacy of Oral Mucosal Grafting for Nasal, Septal, and Sinonasal Reconstruction: A Systematic Review of the Literature 
260 |b MDPI AG  |c 2025 
513 |a Literature Review 
520 3 |a Background: Reconstruction of nasal, septal, and nasosinusal defects is challenging when the native mucosa is absent or damaged. Oral mucosal grafts have been proposed as a reconstructive option due to their favorable biological properties, but their use in rhinology remains poorly defined. Objective: To evaluate the clinical efficacy and technical characteristics of oral mucosal grafting for nasal, septal, nasosinusal, and skull base reconstruction. Data Sources: PubMed, Embase, Web of Science, and Cochrane Library were searched for studies published between January 2005 and May 2025. Study Eligibility Criteria: We included original human studies (case reports or series) reporting the use of free or pedicled oral mucosal grafts in nasal, septal, nasosinusal, or skull base reconstruction. Non-original studies, animal or preclinical studies, and articles not in English or Spanish were excluded. Methods of Review: One reviewer screened titles, abstracts, and full texts using Rayyan. Methodological quality was assessed using JBI tools for case reports and case series. A narrative synthesis was conducted due to clinical heterogeneity and absence of comparison groups. The resulting assessments were reviewed by the co-authors to confirm accuracy and resolve any potential discrepancies. Results: Of 467 records identified, 10 studies were included. All were case reports or series involving buccal, palatal, or labial mucosa. Most reported good graft integration, low complication rates, and favorable functional outcomes. No randomized studies or comparative analyses were found. Limitations: Included studies had small sample sizes, lacked control groups, and showed heterogeneous methods and follow-up. The certainty of evidence could not be formally assessed. Conclusions: Oral mucosal grafting is a promising reconstructive option in selected nasosinusal and skull base defects. However, stronger comparative studies are needed to determine its clinical superiority. Registration: This review was not registered in any public database. 
610 4 |a Cochrane Library 
653 |a Comparative analysis 
653 |a Sinuses 
653 |a Content analysis 
653 |a Biological properties 
653 |a Automation 
653 |a Reconstruction 
653 |a Defects 
653 |a Mucosa 
653 |a Aesthetics 
653 |a Heterogeneity 
653 |a Literature reviews 
653 |a Case reports 
653 |a Comparative studies 
653 |a Grafting 
653 |a Effectiveness 
653 |a Morbidity 
653 |a Skin & tissue grafts 
653 |a Skull 
653 |a Systematic review 
653 |a Social 
700 1 |a Sánchez Barrueco Alvaro  |u Rhinology Unit, ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; marta.shorcajada@quironsalud.es (M.S.H.); william.aragones@quironsalud.es (W.A.S.-B.); gdiazt@quironsalud.es (G.D.T.); carlos.cenjor@gmail.com (C.C.E.); jmvillacampa@fjd.es (J.M.V.A.) 
700 1 |a Aragonés Sanzen-Baker William  |u Rhinology Unit, ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; marta.shorcajada@quironsalud.es (M.S.H.); william.aragones@quironsalud.es (W.A.S.-B.); gdiazt@quironsalud.es (G.D.T.); carlos.cenjor@gmail.com (C.C.E.); jmvillacampa@fjd.es (J.M.V.A.) 
700 1 |a Díaz Tapia Gonzalo  |u Rhinology Unit, ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; marta.shorcajada@quironsalud.es (M.S.H.); william.aragones@quironsalud.es (W.A.S.-B.); gdiazt@quironsalud.es (G.D.T.); carlos.cenjor@gmail.com (C.C.E.); jmvillacampa@fjd.es (J.M.V.A.) 
700 1 |a Moreno Luna Ramón  |u Rhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, Spain; ramoluorl@gmail.com 
700 1 |a Villacampa Aubá Felipe  |u Department of Urology, Clínica Universidad de Navarra, 28027 Madrid, Spain; fvillacampa@yahoo.es 
700 1 |a Cenjor Español Carlos  |u Rhinology Unit, ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; marta.shorcajada@quironsalud.es (M.S.H.); william.aragones@quironsalud.es (W.A.S.-B.); gdiazt@quironsalud.es (G.D.T.); carlos.cenjor@gmail.com (C.C.E.); jmvillacampa@fjd.es (J.M.V.A.) 
700 1 |a Villacampa Aubá José Miguel  |u Rhinology Unit, ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; marta.shorcajada@quironsalud.es (M.S.H.); william.aragones@quironsalud.es (W.A.S.-B.); gdiazt@quironsalud.es (G.D.T.); carlos.cenjor@gmail.com (C.C.E.); jmvillacampa@fjd.es (J.M.V.A.) 
773 0 |t Life  |g vol. 15, no. 8 (2025), p. 1281-1296 
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