Donor-site morbidity after fibula free flap transfer: a comparison of subjective evaluation using a visual analogue scale and point evaluation system

Vittayakittipong, P.

doi:10.1016/j.ijom.2013.04.004

Cited by 16 publications

(8 citation statements)

References 36 publications

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“…The body mass index (BMI) in our study determined an average value of 24.3 kg/m², which is in the upper range of normal weight and it is similar to values from comparable studies [ 38 , 53 , 62 , 63 ]. For better comparability with other studies, we summarize our graft types to fibula grafts with skin (76%) and without skin island (24%).…”

Section: Discussionsupporting

confidence: 88%

Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life

Attia

Diefenbach

Schmermund

et al. 2020

Cancers

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The free fibula flap has been one of the most important microvascular grafts for orofacial reconstruction for more than 30 years. The complication rates at the donor-site reported in literature are considered to be low, but the published data vary greatly in some cases. In particular, restrictions in the stability and balance of the involved leg and their effects on the quality of life have been described very inconsistently to date. Therefore, this study mainly focuses on the stability and balance of the affected leg in a split-leg design. Between December 2014 and January 2018, out of 119 subjects who underwent mainly jaw ablative tumor surgery and reconstruction using a fibula flap, 68 subjects were examined for donor site morbidity. Besides reporting general types of complications, two specific test procedures were used. The Star Excursion Balance Test (SEBT) as a practical test for ankle function and the Foot and Ankle Disability Index (FADI) as a questionnaire in order to assess quality of life, depending on the lower leg function. SEBT revealed an average of 55.3 cm with the operated leg as the supporting leg, which corresponds to 95.5% of 57.9 cm achieved with the healthy leg as the supporting leg. An average FADI score of 89.4% was recorded. SEBT and FADI seem to be suitable methods of examination for subjects post fibular transplantation and pointed out minimal limitations of the involved legs in comparison to the unaffected legs. These limitations were clinically not relevant and they had minor influence on the subjects’ quality of life and their daily activities.

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Section: Discussionsupporting

confidence: 88%

Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life

Attia

Diefenbach

Schmermund

et al. 2020

Cancers

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“…The psychological surveys administered after maxillofacial surgery included the Faces Pain Scale-Revised (FRS-R) [ 15 ], visual analog scale (VAS) [ 16 ], numerical rating scale (NRS) [ 17 , 18 ], Hamilton anxiety rating scale (HAMA) [ 19 ], oral-facial body dysmorphic disorder self-scale (OFBDDSS) [ 20 , 21 ], self-overall appearance evaluation scores [ 22 ], and short-form 36 health survey questionnaire (SF-36) [ 23 , 24 ]. The surveys were conducted seven days after surgery by the NST.…”

Section: Methodsmentioning

confidence: 99%

Comparison of the Outcomes of Three Different Nutritional Supports in Patients with Oral and Maxillofacial Malignant Tumors following Surgery

Zou

Zhou

Zhuang

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Objective. This study aimed to compare the physical and mental states and the clinical effects of parenteral nutrition combined with enteral nutrition (PN+EN), total enteral nutrition (TEN), and total parenteral nutrition (TPN) after surgery in patients with maxillofacial malignant tumors. Methods. A total of 112 patients were divided into three groups, with 58, 33, and 21 patients in the PN+EN, TPN, and TEN groups, respectively. The psychological survey contained the Faces Pain Scale-Revised (FRS-R), visual analog scale (VAS), numerical rating scale (NRS), Hamilton anxiety rating scale (HAMA), and short-form 36 health survey questionnaire (SF-36). Spirit symptoms, length of hospital stay, nutritional assessments, and related biochemical indices were recorded and compared. Results. The traditional Chinese medicine (TCM) symptoms of anxiety and dysphoria were least frequently identified in the TPN group. The levels of lymphocytes, hemoglobin (HB), albumin (ALB), and prealbumin (PA) were significantly higher in the PE+EN group, whereas white blood cell count, neutrophil count, HB, PA, and ALB were significantly lower in the TPN group. Better psychological scores were observed in the TPN group. The PE+EN group had a shorter length of stay and higher SGA categories. Potassium, sodium, and chlorine levels were significantly lower in the TEN group (all P < 0.05). Conclusions. As an auxiliary method, TCM symptoms can help to identify spirit disequilibrium earlier and are associated with blood indices. Without the consideration of cost and long length of hospital stay, patients in the TPN group had the best mental status, with PN+EN therapy being an alternative.

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“…The fibula bone is most commonly used in oral and maxillofacial reconstruction following benign or malignant jaw tumor ablation Hidalgo, in 1989, reported the first mandibular reconstruction using a vascularized fibula free flap. [27]. It has several advantages over other bones, including being the longest bone with lengths up to 25 cm, having bicortical structures that can support osseointegrated dental implants, having a large caliber and long vascular pedicles which provide easier anastomosis, and having thin and pliable skin paddles as well as available muscular cuffs around the fibula which can be used for reconstructing the various soft tissue defects ( Figures 5 and 6).…”

Section: Fibula Flapmentioning

confidence: 99%

“…An increase in body mass index is related to an increase in donor-site morbidity after fibula free flap transfer. [27]…”

Section: Fibula Flap Updatesmentioning

confidence: 99%

Basics of Microvascular Reconstruction of Maxillomandibular Defects

Zamiri¹

2015

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

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Donor-site morbidity after fibula free flap transfer: a comparison of subjective evaluation using a visual analogue scale and point evaluation system

Cited by 16 publications

References 36 publications

Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life

Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life

Comparison of the Outcomes of Three Different Nutritional Supports in Patients with Oral and Maxillofacial Malignant Tumors following Surgery

Basics of Microvascular Reconstruction of Maxillomandibular Defects

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