Color Match following Free Flap Surgery in Head and Neck Reconstruction: A Colorimetric and Aesthetic Analysis.

Autor:	Dermody SM; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Kahng PW; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Rao VM; Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear., Casper KA; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Malloy KM; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Rosko AJ; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Stucken CL; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Chinn SB; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Spector ME; From the Department of Otolaryngology-Head and Neck Surgery, University of Michigan., Feng AL; Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear.; Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 May 01; Vol. 153 (5), pp. 1142-1150. Date of Electronic Publication: 2023 Jun 06.
DOI:	10.1097/PRS.0000000000010807
Abstrakt:	Background: Many options for free tissue transfer have been described for head and neck reconstruction. Although functional outcomes remain paramount, aesthetic considerations such as color match can be equally consequential for patient quality of life. It is important to understand differences in color match based on flap donor site for head and neck reconstruction. Methods: A retrospective review was performed of patients who underwent head and neck reconstruction with free tissue transfer at a tertiary care academic medical center between November of 2012 and November of 2020. Patients with documented photographs of their reconstruction and external skin paddles were considered. Patient demographics and surgery-specific factors were recorded. Objective differences in color match were obtained by calculating the International Commission on Illumination Delta E 2000 (dE2000) score. Standard univariate descriptive statistics and multivariable statistical analyses were performed. Results: Lateral arm, parascapular, and medial sural artery perforator free tissue transfer performed favorably compared with other donor sites, whereas anterolateral thigh flaps had the highest average dE2000 scores. Differences in dE2000 scores were mitigated by postoperative irradiation of the flap site and with increasing time beyond 6 months postoperatively. Conclusions: The authors provide an objective assessment of external skin color match in patients undergoing free tissue transfer for head and neck cancer by donor site. Medial sural artery perforator, lateral arm, and parascapular free flaps performed well compared with traditional donor sites. These differences are more significant at the face and mandible when compared with the neck, but they diminish 6 months after surgery and with postoperative irradiation of the free flap skin paddle. Clinical Question/level of Evidence: Therapeutic, III. (Copyright © 2023 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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