Comparison of patient-reported upper extremity disability following free flaps in head and neck reconstruction: A systematic review and meta-analysis

被引：5

作者：

Ranganath, Kushi ^{[1
]}

Miller, Lauren E. ^{[1
]}

Goss, Deborah ^{[2
]}

Lin, Derrick T. ^{[1
]}

Faden, Daniel L. ^{[1
]}

Deschler, Daniel G. ^{[1
]}

Emerick, Kevin S. ^{[1
]}

Richmon, Jeremy D. ^{[1
]}

Varvares, Mark A. ^{[1
]}

Feng, Allen L. ^{[1
,3
]}

机构：

[1] Harvard Med Sch, Dept Otolaryngol Head & Neck Surg, Mass Eye & Ear, Boston, MA USA

[2] Mass Eye & Ear, Howe Lib, Boston, MA USA

[3] Massachusetts Eye & Ear, 243 Charles St, Boston, MA 02114 USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2023年 / 45卷 / 07期

关键词：

Disabilities in Arm; Shoulder; and Hand; donor site morbidity; free flap; patient-reported outcome measures; upper extremity disability; DONOR-SITE MORBIDITY; DASH QUESTIONNAIRE; SHOULDER FUNCTION; NORMATIVE VALUES; OUTCOME MEASURE; HAND; ARM; HARVEST; VALIDATION; VALIDITY;

D O I：

10.1002/hed.27375

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundComparisons of patient-reported donor site morbidity based on the Disabilities in Arm, Shoulder, and Hand (DASH) instrument across upper trunk free flaps in head and neck surgery, including radial forearm (RFFF), osteocutaneous radial forearm (OCRFF), scapular tip (STFF), and serratus anterior (SAFF) free flaps, may help inform donor tissue selection. MethodsIn this meta-analysis, 12 studies were included and the primary outcome was average DASH score. ResultsThe pooled DASH scores were 12.14 (95% CI: 7.40-16.88) for RFFF (5 studies), 17.99 (11.87-24.12) for OCRFF (2 studies), 12.19 (8.74-15.64) for STFF (3 studies), and 16.49 (5.92-27.05) for SAFF (2 studies) and were not significantly different. ConclusionsResults suggest that patients generally function well, with minimal to mild donor site morbidity, when assessed at an average of 20 months after flap harvest. These results are based on few effects from primarily retrospective studies of fair quality, and further research is needed.

引用

页码：1832 / 1840

页数：9

共 44 条

[1]

Beaton D E, 2001, J Hand Ther, V14, P128

[2] Patient-Reported Outcomes: Understanding Surgical Efficacy and Quality from the Patient's Perspective [J].

Billig, Jessica I. ;

Sears, Erika D. ;

Travis, Breanna N. ;

Waljee, Jennifer F. .

ANNALS OF SURGICAL ONCOLOGY, 2020, 27 (01) :56-64

[3] Mandibular reconstruction with the scapula tip free flap [J].

Blumberg, Jeffrey M. ;

Walker, Paul ;

Johnson, Stephanie ;

Johnson, Bradley ;

Yu, Eugene ;

Lacasse, Marie-Constance ;

Lam, David K. ;

Rittenberg, Brian ;

Yao, Christopher M. K. L. ;

Chepeha, Douglas ;

de Almeida, John R. ;

Goldstein, David P. ;

Gilbert, Ralph .

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2019, 41 (07) :2353-2358

[4] Long-Term Vascular, Motor, and Sensory Donor Site Outcomes after Ulnar Forearm Flap Harvest [J].

Brown, Emile N. ;

Chaudhry, Arif ;

Mithani, Suhail K. ;

Bluebond-Langner, Rachel O. ;

Feiner, Jeffrey M. ;

Shaffer, Cynthia K. ;

Call, Diana ;

Rodriguez, Eduardo D. .

JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2014, 30 (02) :115-120

[5] Scapular angle osteomyogenous flap in postmaxillectomy reconstruction: Defect, reconstruction, shoulder function, and harvest technique [J].

Clark, Jonathan R. ;

Vesely, Martin ;

Gilbert, Ralph .

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2008, 30 (01) :10-20

[6]

De Smet L, 2008, ACTA ORTHOP BELG, V74, P575

[7] Patient Self-Report of Disability of the Upper Extremity following Osteocutaneous Radial Forearm Free Flap Harvest [J].

Deleyiannis, Frederic W. -B. ;

Sacks, Justin M. ;

McLean, Kia M. ;

Russavage, James M. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (05) :1479-1484

[8] Upper extremity morbidity after radial forearm flap harvest: a prospective study [J].

Fang, Qi-Gen ;

Shi, Shuang ;

Zhang, Xu ;

Li, Zhen-Ning ;

Liu, Fa-Yu ;

Sun, Chang-Fu .

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2014, 42 (01) :231-235

[9]

Feng AL., 2018, PLAST AESTHET RES, V8, DOI [10.20517/2347-9264.2021.03, DOI 10.20517/2347]

[10] Minimal Clinically Important Difference of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH) and Its Shortened Version (QuickDASH) [J].

Franchignoni, Franco ;

Vercelli, Stefano ;

Giordano, Andrea ;

Sartorio, Francesco ;

Bravini, Elisabetta ;

Ferriero, Giorgio .

JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2014, 44 (01) :30-39

← 1 2 3 4 5 →