Subjective morbidity following radial free flap reconstruction in head and neck tumour patients

2019 ◽  
Vol 133 (03) ◽  
pp. 230-235 ◽  
Author(s):  
A Minkara ◽  
M R Simmons ◽  
A Goodale ◽  
Y J Patil
Keyword(s):  
Free Flap ◽  
Short Form ◽  
Donor Site ◽  
Radial Forearm Free Flap ◽  
Short Musculoskeletal Function Assessment ◽  
Neck Tumour ◽  
Radial Forearm ◽  
Musculoskeletal Function ◽  
Assessment Questionnaire ◽  
Function Assessment

AbstractObjectiveEvaluation of post-operative donor site disability remains unaddressed in radial forearm free flap cases. This study aimed to assess donor site dysfunction following radial forearm free flap harvest using validated general, disease-specific and site-specific disability questionnaires.MethodsIn this retrospective case series of 24 patients at a tertiary academic medical centre, patients were assessed using the Short Form 36 Health Survey, Short Musculoskeletal Function Assessment questionnaire, and Disabilities of the Arm, Shoulder and Hand questionnaire. One-sample z-tests were performed, comparing means of the cohort to controls.ResultsCompared to population controls, the cohort had higher mean scores for the Disabilities of the Arm, Shoulder and Hand questionnaire (18.22 vs 10.1, p < 0.01), and Short Musculoskeletal Function Assessment questionnaire bothersome index (21.44 vs 13.77, p = 0.04), and a lower mean score for the Short Form 36 Health Survey physical component (38.88 vs 50, p < 0.01), indicating a greater disability for the cohort compared to controls.ConclusionRadial forearm free flap harvest causes significant long-term donor site disability in head and neck tumour patients. The Disabilities of the Arm, Shoulder and Hand questionnaire is a concise tool for measuring this dysfunction.

Donor-Site Morbidity of the Radial Forearm Free Flap after 125 Phalloplasties in Gender Identity Disorder

2006 ◽  
Vol 118 (5) ◽  
pp. 1171-1177 ◽  
Author(s):  
Gennaro Selvaggi ◽  
Stan Monstrey ◽  
Piet Hoebeke ◽  
Peter Ceulemans ◽  
Koen Van Landuyt ◽  
...  
Keyword(s):  
Gender Identity ◽  
Free Flap ◽  
Gender Identity Disorder ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

Management of the Radial Forearm Free Flap Donor Site With the Vacuum-Assisted Closure (VAC) System

2006 ◽  
Vol 116 (10) ◽  
pp. 1918-1922 ◽  
Author(s):  
Brian T. Andrews ◽  
Russell B. Smith ◽  
Kristi E. Chang ◽  
Joseph Scharpf ◽  
David P. Goldstein ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Radial Forearm Free Flap ◽  
Vacuum Assisted Closure ◽  
Radial Forearm

Subjective morbidity following fibular free flap reconstruction in head and neck cancer patients

2018 ◽  
Vol 132 (8) ◽  
pp. 729-733
Author(s):  
D M Sparkman ◽  
M R Simmons ◽  
Y J Patil
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Lower Limb ◽  
Short Form ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Short Musculoskeletal Function Assessment ◽  
Musculoskeletal Function ◽  
Function Assessment

AbstractObjectiveThis study aimed to evaluate the presence of subjective post-operative donor site morbidity after fibula free flap reconstruction in head and neck cancer patients, utilising three validated instruments: the 36-item Short Form Health Survey, the Short Musculoskeletal Function Assessment questionnaire and the Lower Limb Core Scale.MethodsIn this retrospective study, all head and neck cancer patients who underwent fibula free flap reconstruction between January 2009 and July 2014 were identified. All questionnaires and their respective subcomponents were scored.ResultsTwenty-one cases were included. Patients were found to have a higher Short Musculoskeletal Function Assessment bothersome index (22.42 vs 13.77, p = 0.03), a lower Short Form 36 Health Survey Physical Component Summary score (42.44 vs 50, p < 0.01) and a decreased Lower Limb Core Scale score (47.08 vs 90.52, p < 0.01), compared to US population norms. The Short Form 36 Health Survey Mental Component Summary scores and Short Musculoskeletal Function Assessment function index failed to demonstrate significant differences. Gender affected overall disability.ConclusionIn this study, significant long-term disability was demonstrated after fibular flap reconstruction, as measured by the Lower Limb Core Scale.

Suprafascial Harvest of the Radial Forearm Free Flap Decreases the Risk of Postoperative Tendon Exposure

2017 ◽  
Vol 126 (3) ◽  
pp. 224-228 ◽  
Author(s):  
David C. Shonka ◽  
Nikita V. Kohli ◽  
Benjamin M. Milam ◽  
Mark J. Jameson
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Retrospective Chart Review ◽  
Split Thickness Skin Graft ◽  
Radial Forearm Free Flap ◽  
Tourniquet Time ◽  
Exact Test ◽  
Harvest Technique ◽  
Thickness Skin ◽  
Radial Forearm

Objective: To determine if suprafascial harvest of the radial forearm free flap improves postoperative donor site outcomes compared to subfascial harvest. Methods: Retrospective chart review. Results: Forty-six patients underwent reconstruction of a head and neck defect with a radial forearm free flap (RFFF). Subfascial harvest of the RFFF was performed in 25 (53%) patients and suprafascial harvest performed in 22 (47%) patients. All donor sites were covered with a split thickness skin graft and a bolster that remained in place for 6 days. Postoperative tendon exposure at the donor site occurred in 5 (20%) of the patients in the subfascial group and in 0 (0%) of the patients in the suprafascial group ( P = .05; Fisher’s exact test). Average tourniquet time was 117 minutes in the subfascial group and 102 minutes in the suprafascial group. Hematoma formation occurred at the donor site in 2 (8%) and 1 (5%) patients in the subfascial and suprafascial groups, respectively. There were no complete or partial flap losses in either group. Conclusions: Suprafascial harvest of the RFFF decreases the risk of postoperative tendon exposure. The suprafascial harvest technique does not increase harvest time or donor site complications, nor does it negatively impact flap vascularity.

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