Prélèvement suprafascial du lambeau antébrachial radial

Kamal, Dounia; Fassio, E; Goudot, P.; Yachouh, Jacques

doi:10.1016/j.anplas.2008.10.001

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Results of previous research are ambiguous: a significant limitation in range of motion at the harvesting site [23] is shown in some and disproven in other studies [12]. Kamal et al showed equal or better clinical outcomes by adopting the suprafascial dissection technique compared to the infrafascial with regard to tendon adhesion (0 vs. 0) and sensory nerve damage at donor site (0 vs. 2), with an equal number of flap failure (1/1) [24]. When comparing defect coverage of a suprafascial dissection technique by FTSG to STSG plus a negative wound pressure, initial graft taking is as high as 96 % in 5 days and 100 % in a month [25].…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up of donor site morbidity after defect coverage with Integra following radial forearm flap elevation

et al. 2014

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BackgroundThe radial forearm flap (RFF) is known for its excellent and reliable results regarding defect coverage though donor site morbidity represents a persisting problem. Integra is widely used in reconstructive surgery. This study aims to assess long-term outcomes regarding functionality and cosmesis after donor site coverage with respect to esthetic appearance, scar quality, and wrist function as well as ability to work after donor site coverage with Integra and split-thickness skin.MethodsThe prospective follow-up exam, after a mean time of 23.8 months, enrolled 13 patients. Identification of patients’ comorbidities and evaluation of the subjective esthetic outcome, sensibility, cold intolerance, and scar instability was assessed by a questionnaire. In clinics, designed Pinch test assessed scar tissue mobility over the flexor tendons. The Vancouver Scar Scale (VSS) was calculated; wrist function and grip strength were determined.ResultsThe satisfaction score for the esthetic appearance of the donor site was in average 3.42 ± 0.44. Two patients experienced an unstable scar and cold intolerance. The VSS resulted in a value of 4.2 representing a good result. The pinch test revealed an average scar mobility of 8 mm without any tendon adhesions. Active range of motion of the wrist was equal to the non-operated site as was grip strength. The pinch test showed a significant negative correlation with the VSS making it a reliable tool to measure scar quality.ConclusionLong-term results show an esthetic and functional successful defect coverage of the RFF donor site by the use of Integra and split-thickness skin.Level of Evidence: Level IV, therapeutic study.

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Section: Discussionmentioning

confidence: 99%

Long-term follow-up of donor site morbidity after defect coverage with Integra following radial forearm flap elevation

et al. 2014

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Use of amniotic membrane for radial forearm free flap donor site coverage: clinical, functional and cosmetic outcomes

et al. 2019

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Objective To evaluate the clinical, functional and aesthetic outcomes for radial forearm free flap (RFFF) donor sites covered with amniotic membrane (AM). Material and methods The healing process of patients with RFFF donor sites covered with AM was prospectively followed for 1 year. Additionally at the 12-month evaluation, objective scoring systems were used to assess the aesthetic (Vancouver scar scale, VSS: range 1-13) and functional outcome (skin sensibility, hand/wrist functionality [goniometer], grip strength [score 1 = excellent, 5 = poor]). By using a subjective rating system (score 1 = excellent, 5 = poor), the patient-reported aesthetic and functionality outcome was correlated with objective data analysis. Results Twenty-one out of 23 patients were followed for 12 months (dropout: 2 patients at 3 months). In 17/23 (73.9%) patients RFFF defect covered with AM showed an uneventful healing period (< 3 months). Prolonged healing periods (> 3 months < 6) for 6 patients (26.1%) were attributed to wound infections (4×), seroma (1×) and inflammation (1×). At the 1-year evaluation, there was a significant (p < 0.01) correlation between subjective (2.0 ± 0.71) and objective aesthetic scores (VVS 3.74 ± 2.18), and a successful grip strength (score 1.67 ± 0.86); however, thumb hyposensibility in 76.2% was seen. A high body mass index (BMI) was in conjunction with a negative (p = 0.012) and the use of antihypertensive medications provided positive effects (p = 0.041) on the aesthetic outcome. Conclusion RFFF donor site defects covered using AM show excellent clinical, aesthetic and functional outcome representing patient comorbidities (BMI, antihypertensive drugs) might affect the aesthetic outcome. Clinical relevance In relation to the excellent outcomes found, the use of AM offers an alternative treatment procedure for RFFF defect covering.

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

Shonka

Kohli

Milam

et al. 2017

Ann Otol Rhinol Laryngol

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Prélèvement suprafascial du lambeau antébrachial radial

Cited by 3 publications

References 7 publications

Long-term follow-up of donor site morbidity after defect coverage with Integra following radial forearm flap elevation

Long-term follow-up of donor site morbidity after defect coverage with Integra following radial forearm flap elevation

Use of amniotic membrane for radial forearm free flap donor site coverage: clinical, functional and cosmetic outcomes

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

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