Biomechanical and aesthetic outcomes following radial forearm free flap transfer: comparison of ipsilateral full-thickness skin graft and traditional split-thickness skin graft

Al-Aroomi, Maged Ali; Mashrah, Mubarak Ahmed; Al-Worafi, Naseem Ali; Zhou, Weizheng; Sun, Changfu; Pan, Chaobin

doi:10.1016/j.ijom.2023.04.003

Cited by 2 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Infection rates at the recipient site were documented in four studies [9,12,14,16], involving a total of 309 patients. Our analysis revealed no statistically significant difference in infection rates between the FTSG and STSG groups (OR = 1.05; CI = 0.48 to 2.33; p = 0.90).…”

Section: Secondary Outcome Resultsmentioning

confidence: 99%

“…Eight studies were identified as eligible for inclusion in this study [9][10][11][12][13][14][15][16].…”

Section: Prisma: Preferred Reporting Items For Systematic Reviews And...mentioning

confidence: 99%

“…Al-Aroomi et al [9] conducted a retrospective study to evaluate the functional and aesthetic outcomes following the closure of RFFF donor sites using FTSG vs. STSG techniques. The study included a total of 75 patients who underwent oral cavity reconstruction with RFFF between March 2017 and August 2021.…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…Studies included: Al-Aroomi et al [9], Chambers et al [10], Davies et al [11], Krane et al [12], Sidebottom et al [14], and Zuidam et al [16].…”

Section: Figure 4: Forest Plot Of Ftsg Vs Stsg: Complicationsmentioning

confidence: 99%

“…Tendon exposure at the recipient site was reported in four studies [9][10][11][12], encompassing a total of 279 patients. Our findings demonstrated no statistically significant disparity in tendon exposure rates between the FTSG and STSG methods (OR = 1.05; CI = 0.61 to 1.80; p = 0.64).…”

Section: Figure 4: Forest Plot Of Ftsg Vs Stsg: Complicationsmentioning

confidence: 99%

See 4 more Smart Citations

Full-Thickness Skin Graft Versus Split-Thickness Skin Graft for Radial Forearm Free Flap Transfer in Oral Cavity Reconstruction: A Systematic Review and Meta-Analysis

Saleki,

Noor,

Hurt

et al. 2023

Cureus

View full text Add to dashboard Cite

The radial forearm free flap (RFFF) is a surgical technique for addressing intraoral reconstruction. However, with the limitation of an unavoidable defect at the RFFF donor site, split-thickness skin grafts (STSGs) have been a solution for repairing these defects, but they are not without challenges. This study aimed to evaluate an approach using full-thickness skin grafts (FTSGs), comparing their effectiveness in terms of aesthetics, pain, complications, and scarring. A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies comparing FTSG with STSG for RFFF donor site repair in head and neck cancer patients were included. Primary outcomes measured were appearance and pain at the RFFF site, and secondary outcomes were infection, tendon exposure, graft loss, and scar assessment. A meta-analysis and systematic review of eight studies demonstrated that FTSG provided a superior aesthetic appearance at the RFFF donor site compared to STSG (p = 0.001), with low heterogeneity among the studies. The analysis found no significant difference in donor site pain between techniques. There were no significant differences in infection, tendon exposure, or skin graft loss between the two graft methods. This study suggests that FTSG is comparable to STSG in terms of donor site pain, scarring, and infection while offering superior aesthetic outcomes.

show abstract

Section: Secondary Outcome Resultsmentioning

confidence: 99%

“…Eight studies were identified as eligible for inclusion in this study [9][10][11][12][13][14][15][16].…”

Section: Prisma: Preferred Reporting Items For Systematic Reviews And...mentioning

confidence: 99%

Section: Overview Of Studiesmentioning

confidence: 99%

“…Studies included: Al-Aroomi et al [9], Chambers et al [10], Davies et al [11], Krane et al [12], Sidebottom et al [14], and Zuidam et al [16].…”

Section: Figure 4: Forest Plot Of Ftsg Vs Stsg: Complicationsmentioning

confidence: 99%

Section: Figure 4: Forest Plot Of Ftsg Vs Stsg: Complicationsmentioning

confidence: 99%

See 3 more Smart Citations

Full-Thickness Skin Graft Versus Split-Thickness Skin Graft for Radial Forearm Free Flap Transfer in Oral Cavity Reconstruction: A Systematic Review and Meta-Analysis

Saleki,

Noor,

Hurt

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Patient‐reported outcomes after oral cancer reconstructions with radial and ulnar forearm‐free flaps

Al‐Aroomi,

Al‐Worafi,

et al. 2024

Oral Diseases

View full text Add to dashboard Cite

ObjectivesThis study aimed to evaluate patient‐reported quality of life and incidence of decision regret in patients undergoing radial (RFFF) and ulnar forearm‐free flaps (UFFF) reconstruction.Materials and MethodsPatients undergoing either RFFF or UFFF were assessed with the University of Washington Quality of Life (UW‐QOL) and Oral Health Impact Profile (OHIP‐14) questionnaires, and the Decision Regret Scale (DRS), both before and at least 12 months post‐reconstruction.ResultsIn total, 40 RFFF and 40 UFFF were included. Harvesting time was longer in RFFF (p = 0.043), and the donor‐site defect was significantly larger in RFFF than in UFFF (p = 0.044). Patients with UFFF scored better UW‐QOL in the appearance, pain, activity, mood, and social functioning domains (p < 0.05). However, the RFFF group excelled in swallowing and chewing domains. The DRS score revealed a significant difference between RFFF and UFFF, with scores of 36.26 versus 27.36, respectively. Moreover, the mean DRS score reduced at 12 months compared with 6 months, significantly superior for UFFF.ConclusionOral cancer patients reconstructed with UFFF exhibited a better appearance, social domain, and mild decision regret compared with RFFF, indicating that the UFFF may contribute to improving postoperative quality of life in oral cancer patients.

show abstract

Biomechanical and aesthetic outcomes following radial forearm free flap transfer: comparison of ipsilateral full-thickness skin graft and traditional split-thickness skin graft

Cited by 2 publications

References 25 publications

Full-Thickness Skin Graft Versus Split-Thickness Skin Graft for Radial Forearm Free Flap Transfer in Oral Cavity Reconstruction: A Systematic Review and Meta-Analysis

Full-Thickness Skin Graft Versus Split-Thickness Skin Graft for Radial Forearm Free Flap Transfer in Oral Cavity Reconstruction: A Systematic Review and Meta-Analysis

Patient‐reported outcomes after oral cancer reconstructions with radial and ulnar forearm‐free flaps

Contact Info

Product

Resources

About