Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?

Witt, Christien A. de; Bree, Remco de; Leeuw, Irma M. Verdonck‐de; Quak, Jasper J.; Leemans, C. René

doi:10.1007/s00405-007-0277-1

Cited by 64 publications

(62 citation statements)

References 26 publications

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“…[7][8][9][10] In addition, it has been shown that objective measurements do not accurately reflect the patient's experience. 4,6 This may be because the majority of RFF flaps are harvested from the non-dominant arm, and the reduction in wrist motion was not severe enough to impact significantly on daily life. The present study therefore did not analyse wrist mobility because of its limited clinical significance.…”

Section: Discussionmentioning

confidence: 99%

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Upper extremity morbidity after radial forearm flap harvest: a prospective study

et al. 2013

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Objective: To determine the effect of radial forearm free (RFF) flap harvest on patient-reported postoperative upper extremity disability. Methods: Patients undergoing RFF flap reconstruction following resection of head and neck cancer were recruited and matched with similar patients undergoing non-RFF reconstruction. All subjects completed the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire preoperatively and at least 1 year postoperatively. Results: Postoperative DASH scores were significantly higher (more severe disability) in patients undergoing RFF flap reconstruction (6.93 AE 5.54; n ¼ 52) compared with those undergoing non-RFF flap surgeries (2.95 AE 4.42; n ¼ 52). Preoperative DASH score, flap size, patient age and tumour stage were significantly correlated with postoperative DASH score. Conclusion: Excluding the effect of neck dissection, RFF flap reconstruction has a significant deleterious effect on upper extremity function.

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Section: Discussionmentioning

confidence: 99%

“…4,5,8,9 The aim of the present prospective matched-pair study was to determine the effect of the RFF flap on upper extremity function.…”

Section: Introductionmentioning

confidence: 99%

Upper extremity morbidity after radial forearm flap harvest: a prospective study

et al. 2013

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“…1 Not only does late-stage disease portend a poorer survival compared with early-stage disease, treatment of late-stage disease entails much more extensive treatment and results in a poorer quality of life. [2][3][4][5][6] Opportunities to reduce diagnostic delays in oral cavity cancer may exist for which detecting more disease at an earlier stage could result in improved survival and reduced morbidity. Few studies have examined the diagnostic pathway of oral cavity cancer and assessed whether delays commonly occur in the US population.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Pathway of Oral Cavity Cancer in an Integrated Health Care System

Wang

Song²,

Gilde³

et al. 2018

TPJ

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Context: Survival for patients with oral cavity squamous cell carcinoma (OCSCC) has remained relatively stagnant despite advances in treatment. Few studies have examined why advanced-stage disease is diagnosed in 40% of patients with OCSCC nationally.Objective: To characterize the diagnostic pathway of OCSCC in an integrated health care system. Design: Retrospective study of patients with OCSCC (2007OCSCC ( -2010. Main Outcome Measures: Referral patterns and demographic, clinical, and tumor characteristics associated with time to diagnosis (diagnostic interval).Results: Of 247 patients, 167 (68%) had early-stage (I/II) disease, 86 (35%) were referred by dentists, and 70 (28%) had a history of premalignancy. The median time (interquartile range) from symptom onset to care sought from a primary care physician (patient interval), from primary care physician to otolaryngologist, and from otolaryngologist to diagnosis was 8.6 (4.0-25.8), 1.0 (0.6-3.1), 0.0 (0.0-3.0) weeks, respectively. These intervals did not differ by demographic characteristics, clinical factors, or tumor stage. Prolonged diagnostic intervals were observed among patients with premalignant lesions.Conclusion: The patient interval was the largest component of the total diagnostic interval. The subsequent professional workup proceeded relatively efficiently. Prolonged diagnostic interval in patients with premalignant lesions may reflect the natural history of malignant transformation rather than a delay in diagnosis. However, nearly one-fourth of these cases were diagnosed at an advanced stage; closer surveillance may represent an opportunity for diagnosis at an earlier stage. Surveillance for premalignant lesions and facilitating referrals from dentists may expedite the diagnosis and treatment of OCSCC. Further investigation is warranted.

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“…Techniques such as direct closure, prelamination or full thickness skin graft (FTSG) instead of split thickness skin graft (STSG) at RFF donor defect have been employed, but STSG is still the method of choice for many surgeons [2][3][4][5], including those at our institute, Seoul National University Dental Hospital.…”

Section: Introductionmentioning

confidence: 99%

Functional and esthetic assessment of radial forearm flap donor site repaired with split thickness skin graft

Lee

Alrashdan

Kim

et al. 2010

Eur Arch Otorhinolaryngol

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The purpose of this study was to evaluate the long-term functional and esthetic outcomes of radial forearm flap (RFF) donor site repaired with split thickness skin graft (STSG). Nineteen patients underwent surgical reconstruction of oro-facial defects by the use of RFF and their donor sites were reconstructed with STSG. The patients were followed up at least for 12 months postoperatively and the left hand was the non-dominant hand in all of them. Objective methods including pinch strength, grip strength, range of motion, current perception threshold (CPT) and two-point discrimination, and subjective methods including patients interview, visual analogue score (VAS) about function, sensitivity, pain and color match, were collectively employed for donor site assessment. Our data revealed some degree of reduction in motor function and sensation compared to the non-donor hand. The difference of pinch strength means was 9.81% and of the grip strength was 12.6%. The difference of wrist flexion means was 17.6% and of wrist extension was 13.4%. However, none of the patients had functional defects of forearm supination and pronation, wrist ulnar deviation or wrist radial deviation. Subjective evaluation showed that the donor site repaired with STSG was well accepted by the patients particularly from a functional point of view. These results demonstrate that STSG represents a favorable choice for RFF donor site repair.

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Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?

Cited by 64 publications

References 26 publications

Upper extremity morbidity after radial forearm flap harvest: a prospective study

Upper extremity morbidity after radial forearm flap harvest: a prospective study

Diagnostic Pathway of Oral Cavity Cancer in an Integrated Health Care System

Functional and esthetic assessment of radial forearm flap donor site repaired with split thickness skin graft

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