An objective analysis of composite free flap donor site morbidity in head and neck surgery: Prospective series.
composite free flaps
donor site morbidity
head and neck neoplasms
objective
prospective study
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
revised:
25
10
2022
received:
07
09
2022
accepted:
09
11
2022
pubmed:
28
11
2022
medline:
4
1
2023
entrez:
27
11
2022
Statut:
ppublish
Résumé
A poor evidence basis exists regarding the objective donor site morbidity associated with osseous free flap harvest. This study prospectively assessed the objective donor site morbidity associated with osseous free flap harvest for the fibula, scapula, and iliac crest (DCIA) donor sites. A single-site, prospective cohort clinical research study was conducted. Sixty-four patients were recruited between 2017 and 2021. Patients were assessed using a donor site specific assessment tool pre-operatively, and again >12 months post-operatively. There was a significant reduction post-operatively in assessment tool scores compared to the pre-operative period for the fibula, scapula and DCIA. Females were more likely to report a greater reduction in Harris Hip Score post-operatively compared to males. The fibula, scapula, and DCIA donor sites are associated with reduced objective function post-operatively compared to patient's pre-operative baseline. The implications are least pronounced for the fibula.
Sections du résumé
BACKGROUND
A poor evidence basis exists regarding the objective donor site morbidity associated with osseous free flap harvest. This study prospectively assessed the objective donor site morbidity associated with osseous free flap harvest for the fibula, scapula, and iliac crest (DCIA) donor sites.
METHODS
A single-site, prospective cohort clinical research study was conducted. Sixty-four patients were recruited between 2017 and 2021. Patients were assessed using a donor site specific assessment tool pre-operatively, and again >12 months post-operatively.
RESULTS
There was a significant reduction post-operatively in assessment tool scores compared to the pre-operative period for the fibula, scapula and DCIA. Females were more likely to report a greater reduction in Harris Hip Score post-operatively compared to males.
CONCLUSIONS
The fibula, scapula, and DCIA donor sites are associated with reduced objective function post-operatively compared to patient's pre-operative baseline. The implications are least pronounced for the fibula.
Identifiants
pubmed: 36437486
doi: 10.1002/hed.27254
pmc: PMC10098479
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
398-408Informations de copyright
© 2022 The Authors. Head & Neck published by Wiley Periodicals LLC.
Références
J Craniomaxillofac Surg. 2015 Nov;43(9):1776-80
pubmed: 26325617
Head Neck. 2001 Feb;23(2):113-25
pubmed: 11303628
Br J Oral Maxillofac Surg. 2010 Jun;48(4):267-70
pubmed: 19716215
Microsurgery. 2018 May;38(4):395-401
pubmed: 28745438
J Craniomaxillofac Surg. 2016 Feb;44(2):155-9
pubmed: 26697726
Arch Plast Surg. 2018 Nov;45(6):495-503
pubmed: 30466228
Aust J Rural Health. 2018 Jun;26(3):157-164
pubmed: 29913059
J Shoulder Elbow Surg. 2005 May-Jun;14(3):279-85
pubmed: 15889027
Head Neck. 2017 Feb;39(2):279-287
pubmed: 27617706
Laryngoscope. 2000 Sep;110(9):1419-24
pubmed: 10983935
Qual Life Res. 2018 Sep;27(9):2217-2226
pubmed: 29748823
Plast Reconstr Surg. 2003 Nov;112(6):1517-25; discussion 1526-7
pubmed: 14578779
Foot Ankle Int. 1994 Jul;15(7):349-53
pubmed: 7951968
Orthop J Sports Med. 2022 Feb 04;10(2):23259671211069909
pubmed: 35141339
Plast Reconstr Surg. 2011 Sep;128(3):714-720
pubmed: 21572380
Am J Otolaryngol. 2006 Jan-Feb;27(1):29-32
pubmed: 16360820
J Craniofac Surg. 2009 Jul;20(4):1052-5
pubmed: 19634214
BMC Musculoskelet Disord. 2019 Sep 4;20(1):403
pubmed: 31484528
Lancet. 2007 Oct 20;370(9596):1453-7
pubmed: 18064739
Head Neck. 2023 Feb;45(2):398-408
pubmed: 36437486
J Surg Oncol. 2017 Aug;116(2):258-262
pubmed: 28420035
Microsurgery. 2015 Sep;35(6):447-50
pubmed: 26190129
Ann Plast Surg. 2007 Apr;58(4):405-10
pubmed: 17413883
Microsurgery. 2015 Feb;35(2):101-6
pubmed: 24945140
Clin Orthop Relat Res. 1987 Jan;(214):160-4
pubmed: 3791738
Eur Arch Otorhinolaryngol. 2017 Feb;274(2):939-945
pubmed: 27538738
Int Orthop. 2010 Aug;34(6):883-9
pubmed: 19705115
Plast Reconstr Surg. 2011 Jul;128(1):137-145
pubmed: 21701330
Foot Ankle Int. 2005 Aug;26(8):597-601
pubmed: 16115415
Hip Int. 2017 Jul 25;27(4):389-396
pubmed: 27886359
J Bone Joint Surg Am. 1969 Jun;51(4):737-55
pubmed: 5783851
Int Orthop. 2016 Feb;40(2):301-6
pubmed: 26669697
Plast Reconstr Surg. 2013 Mar;131(3):357e-362e
pubmed: 23446585
Br J Oral Maxillofac Surg. 2016 Feb;54(2):181-6
pubmed: 26708799
Arch Otolaryngol Head Neck Surg. 2005 Jun;131(6):513-7
pubmed: 15967885
J Oral Maxillofac Surg. 2013 Sep;71(9):1604-12
pubmed: 23810616