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Erschienen in:
12.03.2018 | Original Article
Comparison of the outcome of suprafacial and subfacial dissection of radial forearm in head and neck reconstruction
Erschienen in: Oral Cancer | Ausgabe 1-2/2018
Einloggen, um Zugang zu erhaltenAbstract
Purpose
Radial forearm flap is a versatile and reliable tool in oral cancer reconstruction. However, a spectrum of donor-site deficits following harvest of this flap has been reported. Several surgical technique has been proposed to improve skin graft take and tendon exposure and subsequent undesirable results at donor site.
Objective
The study was conducted to compare the donor-site morbidity associated with suprafacial radial forearm flap to that with subfacial donor site in oral cancer reconstructive surgery at our unit.
Methodology
A total of 20 patients were included in the study and were categorized into suprafacial group and subfacial group. The donor-site morbidity was assessed both objectively and subjectively at 15 days, 1 month and 4 months postoperatively. The subjective evaluation was done using patient-related wrist elevation and patient and observer scar assessment.
Results
The suprafacial showed 80% of patients with complete graft uptake when compared to 50% in subfacial group and 20% showed delayed healing in subfacial group. Range of motion and grip strength was found higher in suprafacial group. Subjective evaluation revealed a better aesthetic out come in suprafacial group. The subjective evaluation for pain and function did not reveal a statistically significant difference between two groups.
Conclusion
The study of donor-site morbidity clearly demonstrates the superiority of suprafacial technique over subfacial technique.