Quality of life and subjective donor-site morbidity in patients after a free fibula flap.

Autor: Klaassen K; University of Groningen, University Medical Center Groningen, Department of Plastic Surgery, Groningen, the Netherlands., Kofman KE; University of Groningen, University Medical Center Groningen, Department of Plastic Surgery, Groningen, the Netherlands., Broekstra DC; University of Groningen, University Medical Center Groningen, Department of Plastic Surgery, Groningen, the Netherlands., Stenekes MW; University of Groningen, University Medical Center Groningen, Department of Plastic Surgery, Groningen, the Netherlands. Electronic address: m.w.stenekes@umcg.nl.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2024 Mar; Vol. 90, pp. 95-98. Date of Electronic Publication: 2024 Feb 02.
DOI: 10.1016/j.bjps.2024.01.038
Abstrakt: Introduction: We evaluated the subjective donor-site morbidity and quality of life in patients with a free fibula flap (FFF) reconstruction in terms of self-reported symptoms, function and quality of life, and we compared inclusion vs. exclusion of the flexor hallucis longus (FHL) muscle in the graft, primary wound closure vs. skin graft and the occurrence vs. absence of donor-site complications.
Methods: In this cross-sectional study, patients who underwent a mandibula or maxilla reconstruction with a FFF between 2011 and 2021, were included. Symptoms and function were measured with the Foot and Ankle Outcome Score (FAOS) and quality of life with both FAOS and a Visual Analogue Scale (VAS).
Results: Thirty-four patients were included in the analyses (mean age 59 years, 59% males). Most patients underwent a mandibular reconstruction for a malignancy. The median FAOS domain scores ranged between 92.9 (interquartile range (IQR) 77.7-100.0) and 100.0 (IQR 88.2-100.0) points, and the median VAS score was 86.5 points. No statistically significant differences were found between inclusion vs. exclusion of the FHL, primary wound closure vs. graft and occurrence vs. absence of donor-site complications. An unfavorable trend was seen for inclusion of the FHL in the flap on recreational functioning, and quality of life.
Conclusion: Patients who underwent a FFF experience little donor-site morbidity and high quality of life, as measured by FAOS and VAS.
(Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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