Osteocutaneous flaps for head and neck reconstruction: A focused evaluation of donor site morbidity and patient reported outcome measures in different reconstruction options
| Autor: | Panagiotis Ermogenous, Marie C. Kearns, Simon Myers, Ali M. Ghanem |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Quality of life
medicine.medical_specialty lcsh:Surgery Review Article 030230 surgery Wrist Iliac crest 03 medical and health sciences Postoperative complications 0302 clinical medicine Patient satisfaction Scapula Mandibular reconstruction medicine Head and neck High rate business.industry Chronic pain lcsh:RD1-811 medicine.disease eye diseases Surgery medicine.anatomical_structure Free tissue flaps 030220 oncology & carcinogenesis Patient-reported outcome business |
| Zdroj: | Archives of Plastic Surgery, Vol 45, Iss 6, Pp 495-503 (2018) Archives of Plastic Surgery |
| ISSN: | 2234-6171 2234-6163 |
| Popis: | With significant improvements in success rates for free flap reconstruction of the head and neck, attention has turned to donor site morbidity associated with osteocutaneous free flaps. In this review, we address the morbidity associated with harvest of the four most commonly used osteocutaneous flaps; the free fibula flap, the scapula flap, the iliac crest flap and the radial forearm flap. A comprehensive literature search was performed to identify articles relevant to donor site morbidity for these flaps. We assessed morbidity in terms of incidence of delayed healing, chronic pain, aesthetic outcomes, site specific complications and patient satisfaction/quality of life. Weighted means were calculated when sufficient studies were available for review. The radial forearm and free fibula flaps are associated with high rates of delayed healing of approximately 20% compared to the scapular ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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