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

被引：23
作者：
Fang, Qi-Gen [1 ]
Shi, Shuang [2 ]
Zhang, Xu [1 ]
Li, Zhen-Ning [1 ]
Liu, Fa-Yu [1 ]
Sun, Chang-Fu [1 ]
机构：
[1] China Med Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Shenyang 110002, Liaoning, Peoples R China
[2] China Med Univ, Sch Stomatol, Dept Paediat Dent, Shenyang 110002, Liaoning, Peoples R China
来源：
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2014年 / 42卷 / 01期
关键词：
Radial forearm free flap; upper extremity function; questionnaire; neck dissection; DONOR-SITE MORBIDITY; NECK DISSECTION; SHOULDER DISABILITY; RECONSTRUCTION; PATIENT; ARM;
D O I：
10.1177/0300060513508041
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
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 (6.935.54; n=52) compared with those undergoing non-RFF flap surgeries (2.95 +/- 4.42; n=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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收藏
页码：231 / 235
页数：5
相关论文
共 25 条
  • [1] NECK TREATMENT AND SHOULDER MORBIDITY: STILL A CHALLENGE
    Bradley, Patrick J.
    Ferlito, Alfio
    Silver, Carl E.
    Takes, Robert P.
    Woolgar, Julia A.
    Strojan, Primoz
    Suarez, Carlos
    Coskun, Hakan
    Zbaeren, Peter
    Rinaldo, Alessandra
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2011, 33 (07): : 1060 - 1067
  • [2] Assessment of donor-site functional morbidity from radial forearm fasciocutaneous free flap harvest
    Brown, MT
    Couch, ME
    Huchton, DM
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 1999, 125 (12) : 1371 - 1374
  • [3] Shoulder disability after different selective neck dissections (Levels II-IV versus levels II-V): A comparative study
    Cappiello, J
    Piazza, C
    Giudice, M
    De Maria, G
    Nicolai, P
    [J]. LARYNGOSCOPE, 2005, 115 (02) : 259 - 263
  • [4] Evaluation of donor site function and morbidity of the fasciocutaneous radial forearm flap
    de Bree, R
    Hartley, C
    Smeele, LE
    Kuik, DJ
    Quak, JJ
    Leemans, R
    [J]. LARYNGOSCOPE, 2004, 114 (11) : 1973 - 1976
  • [5] Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?
    de Witt, Christien A.
    de Bree, Remco
    Verdonck-de Leeuw, Irma M.
    Quak, Jasper J.
    Leemans, C. Rene
    [J]. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2007, 264 (08) : 929 - 934
  • [6] Patient Self-Report of Disability of the Upper Extremity following Osteocutaneous Radial Forearm Free Flap Harvest
    Deleyiannis, Frederic W. -B.
    Sacks, Justin M.
    McLean, Kia M.
    Russavage, James M.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (05) : 1479 - 1484
  • [7] Incidence of shoulder pain after neck dissection: A clinical explorative study for risk factors
    Dijkstra, PU
    van Wilgen, PC
    Buijs, RP
    Brendeke, W
    de Goede, CJT
    Kerst, A
    Koolstra, M
    Marinus, J
    Schoppink, EM
    Stuiver, MM
    van de Velde, CF
    Roodenburg, JLN
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2001, 23 (11): : 947 - 953
  • [8] Comparison Studies of Different Flaps for Reconstruction of Buccal Defects
    Fang, Qi-Gen
    Safdar, Jawad
    Shi, Shuang
    Zhang, Xu
    Li, Zhen-Ning
    Liu, Fa-Yu
    Sun, Chang-Fu
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2013, 24 (05) : E450 - E451
  • [9] Clinical reliability of radial forearm free flap in repair of buccal defects
    Fang, Qi-Gen
    Li, Zhen-Ning
    Zhang, Xu
    Liu, Fa-Yu
    Xu, Zhong-Fei
    Sun, Chang-Fu
    [J]. WORLD JOURNAL OF SURGICAL ONCOLOGY, 2013, 11
  • [10] Hudak PL, 1996, AM J IND MED, V29, P602, DOI 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO
123