A comparative prospective study between the outcomes of one-stage Pelnac reconstruction and full thickness skin graft on donor site healing in the radial forearm and fibula flaps.

Autor: Nocini R; Azienda Ospedaliera Universitaria Integrata di Verona, Head and Neck Department, Piazzale Aristide Stefani, 1, 37126 Verona VR, Italy., Lobbia G; Resident in Maxillofacial Surgery, University of Verona, Head and Neck Department, Piazzale Ludovico Antonio Scuro 10, 37134 Verona VR, Italy., Zatta E; Resident in Maxillofacial Surgery, University of Verona, Head and Neck Department, Piazzale Ludovico Antonio Scuro 10, 37134 Verona VR, Italy. Electronic address: esmeralda.zatta@studenti.univr.it., Barbera G; Azienda Ospedaliera Universitaria Integrata di Verona, Head and Neck Department, Piazzale Aristide Stefani, 1, 37126 Verona VR, Italy.
Jazyk: angličtina
Zdroj: Journal of stomatology, oral and maxillofacial surgery [J Stomatol Oral Maxillofac Surg] 2024 Sep; Vol. 125 (4S), pp. 101949. Date of Electronic Publication: 2024 Jun 22.
DOI: 10.1016/j.jormas.2024.101949
Abstrakt: Objectives: Dermal substitutes are classically used in a 2-stage procedure followed by skin graft for wound healing. This study aims to evaluate the possibility to use an alternative technique for radial forearm and fibula donor sites coverage using one-stage Pelnac reconstruction.
Materials and Methods: 21 patients who underwent radial forearm and fibula flaps harvest for reconstruction of head and neck defects after oncological surgery were enroled in the study. 13 patients were treated by one-stage Pelnac reconstruction of the donor site defect, 8 patients underwent full thickness skin graft. The Vancouver Scar Scale was used to evaluate the scar quality.
Results: Most patients treated with one-stage Pelnac reconstruction showed good healing of the flap donor site, with minor complications, scar quality comparable to other treatment options and unimpaired function of the implicated limb. One patient had wound dehiscence at the radial forearm site, which was treated with secondary full thickness skin graft. In the group treated with FTSG we had three patients that developed complications, such as dehiscence of the graft and seroma. Overall, we reported comparable satisfaction with donor sites both for aesthetic and functional outcomes, in both groups of patients.
Conclusion: The use of Pelnac without a following skin graft provides a viable method for the reconstruction of radial forearm and fibula flaps donor site. A longer postoperative care is needed, but the long-term aesthetic and functional results are satisfactory in comparison with full thickness skin graft.
Competing Interests: Declaration of competing interest The authors declare no conflict of interest.
(Copyright © 2024 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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