| Autor: |
Danker, Sara, Shuck, John W., Taher, Ahmed, Mujtaba, Bilal, Chang, Edward I., Chu, Carrie K., Liu, Jun, Garvey, Patrick B., Hanna, Ehab, Yu, Peirong, Largo, Rene D. |
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| Zdroj: |
Head & Neck; Sep2023, Vol. 45 Issue 9, p2413-2423, 11p |
| Abstrakt: |
Introduction: The lateral forearm flap (LFF) is a thin fasciocutaneous flap with a donor site that can be closed primarily. Methods: A retrospective analysis of donor site morbidity and hand function was performed in patients who underwent a radial forearm flap (RFF), ulnar artery perforator flap (UAPF), or LFF. Flap thickness was evaluated radiographically in 50 control patients. Results: Of 134 patients (lateral forearm flap: n = 49, RFF: n = 47, UAPF: n = 38), the LFF demonstrated significantly faster return to baseline hand grip strength (3 months vs. 12 months in RFF and UAPF; p < 0.001), had significantly fewer donor site complications (6.1% compared to 6.4% in RFF and 28.9% in UAPF; p = 0.003) and fewer sensory deficits (2.0% compared to 6.4% in RFF and 15.8% in UAPF sites; p = 0.013). The radiographic study confirmed the LFF to be the thinnest of all upper extremity flap options. Conclusions: The LFF is an excellent forearm‐based flap option with thin, pliable tissue and low donor site morbidity. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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