Radial forearm flap donor-site complications and morbidity: A prospective study

被引:281
作者
Richardson, D
Fisher, SE
Vaughan, ED
Brown, JS
机构
[1] Regional Service for Maxillofacial Sureery, Aintree Hospitals NHS Trust, Wallon Hospital
[2] Regional Centre for Maxillofadal Surgery, Wallon Hospital, Liverpool L9 1AE, Rice Lane
关键词
D O I
10.1097/00006534-199701000-00017
中图分类号
R61 [外科手术学];
学科分类号
摘要
One-hundred patients undergoing radial forearm nap reconstruction in the head and neck over a 2-year period were followed prospectively to assess complications and morbidity associated with the radial flap donor site. Eighty-six patients were available for follow-up at 3 months and 74 at 1 year (49 fasciocutaneous, 25 composite). Partial loss of the donor-site skin graft occurred in 14 patients (16 percent), with exposure of tendons in 11 patients (13 percent). Delay in healing of the split-thickness skin graft at the donor site occurred in 19 patients (22 percent). Fracture of the radius occurred in 6 of 35 patients with composite flaps (17 percent). Superficial radial nerve sensation was reduced in 24 patients (32 percent) at 1 year. Ten patients (14 percent) reported cold intolerance, and 21 patients (28 percent) complained of poor aesthetic result. Function of the donor arm was restricted in 8 patients (16 percent) in the fasciocutaneous group, in 7 patients (36 percent) in the composite group without fracture, and in all patients who had a fracture of the radius following harvesting of composite flaps. Detailed measurements of forearm circumference, grip strength, pinch strength, and wrist movements showed greater reduction in these parameters in patients reporting restricted function compared with those reporting normal function. It is concluded that there is a low incidence of long-term morbidity associated with fasciocutaneous flaps and a higher incidence with composite flaps. Fracture of the radius results in reduced function in all cases.
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页码:109 / 115
页数:7
相关论文
共 16 条
[1]   REDUCING MORBIDITY IN THE RADIAL FOREARM FLAP DONOR SITE [J].
BARDSLEY, AF ;
SOUTAR, DS ;
ELLIOT, D ;
BATCHELOR, AG .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 86 (02) :287-292
[2]   MORBIDITY IN THE FOREARM FLAP DONOR ARM [J].
BOORMAN, JG ;
BROWN, JA ;
SYKES, PJ .
BRITISH JOURNAL OF PLASTIC SURGERY, 1987, 40 (02) :207-212
[3]   REDUCTION OF COMPLICATION RATE AT RADIAL FOREARM FLAP DONOR SITES [J].
BOOTZ, F ;
BIESINGER, E .
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 1991, 53 (03) :160-164
[4]  
BRENNER P, 1988, Journal of Reconstructive Microsurgery, V4, P297, DOI 10.1055/s-2007-1006935
[5]   DIRECT CLOSURE OF THE RADIAL FOREARM FLAP DONOR DEFECT [J].
ELLIOT, D ;
BARDSLEY, AF ;
BATCHELOR, AG ;
SOUTAR, DS .
BRITISH JOURNAL OF PLASTIC SURGERY, 1988, 41 (04) :358-360
[6]   IMPROVING THE DONOR SITE OF THE RADIAL FOREARM FLAP [J].
FENTON, OM ;
ROBERTS, JO .
BRITISH JOURNAL OF PLASTIC SURGERY, 1985, 38 (04) :504-505
[7]   REPAIR OF THE RADIAL FOREARM FLAP DONOR SITE WITH A FULL-THICKNESS GRAFT [J].
GAUKROGER, MC ;
LANGDON, JD ;
WHEAR, NM ;
ZAKI, GA .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1994, 23 (04) :205-208
[8]   THE RADIAL FOREARM FREE FLAP - OUR EXPERIENCE IN SOLVING DONOR SITE PROBLEMS [J].
JURETIC, M ;
CAR, M ;
ZAMBELLI, M .
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 1992, 20 (04) :184-186
[9]   ENDOSSEOUS IMPLANTS IN THE IRRADIATED COMPOSITE RADIAL FOREARM FREE FLAP [J].
MARTIN, IC ;
CAWOOD, JI ;
VAUGHAN, ED ;
BARNARD, N .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1992, 21 (05) :266-270
[10]   THE RADIAL FOREARM FLAP DONOR SITE - SHOULD WE VEIN GRAFT THE ARTERY - A COMPARATIVE-STUDY [J].
MELAND, NB ;
CORE, GB ;
HOVERMAN, VR .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1993, 91 (05) :865-870