Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study

被引：7

作者：

Janik, Stefan ^{[1
]}

Pyka, Julian ^{[2
]}

Faisal, Muhammad ^{[3
]}

Grasl, Stefan ^{[1
]}

Golusinski, Pawel ^{[4
]}

Marijic, Blazen ^{[5
,6
]}

Seemann, Rudolf ^{[5
]}

Erovic, Boban M. ^{[5
]}

机构：

[1] Med Univ Vienna, Dept Otorhinolaryngol Head & Neck Surg, A-1090 Vienna, Austria

[2] Med Univ Vienna, Dept Oral & Maxillofacial Surg, A-1090 Vienna, Austria

[3] Shaukat Khanum Mem Canc Hosp, Dept Surg Oncol, Lahore 54000, Pakistan

[4] Univ Zielona Gora, Dept Otolaryngol & Maxillofacial Surg, PL-65046 Zielona Gora, Poland

[5] Inst Head & Neck Dis, Evangel Hosp, A-1180 Vienna, Austria

[6] Univ Rijeka, Dept Otorhinolaryngol Head & Neck Surg, Clin Hosp Ctr Rijeka, Rijeka 51000, Croatia

来源：

JOURNAL OF CLINICAL MEDICINE | 2022年 / 11卷 / 09期

关键词：

serratus anterior free flap; DASH score; donor site morbidity; head and neck reconstruction; FREE-TISSUE TRANSFER; MUSCLE FLAP; COMPLICATIONS; SHOULDER; ANATOMY; VALUES;

D O I：

10.3390/jcm11092397

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To evaluate donor site morbidity of the serratus anterior free flap (SAFF) in head and neck reconstruction. Methods: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire (0 no disability to 100 most severe disability) was applied to 20 patients (M: 16; F: 4) who underwent ablative surgery and reconstruction of the head and neck using a SAFF. Applications, as well as the donor site, recipient site and flap-related complications, were evaluated. Results: SAFF was mainly used for tongue (n = 11; 55.0%) and pharyngeal reconstruction after a laryngopharyngectomy (n = 4; 20.0%). The majority of patients presented with stage IV disease (n = 12; 60%) and had undergone previous radiotherapy (n = 14; 70%). Our free flap survival rate was 88.9% and the pectoralis major muscle flap (PMMF) was used in 5 patients as a salvage option to reconstruct pharyngeal defects. The mean/median DASH score was 21.6/19.9 (healthy norm 10.1), indicating only mild to moderate disability. However, free flap failure and the additional harvest of PMMF multiplies donor site morbidity since it was associated with a 3- and 2.6-times higher DASH score (46.0 vs. 15.5; p = 0.039 and 39.9 vs. 15.47; p = 0.081). Conclusions: The SAFF represents a versatile flap for head and neck reconstruction with low donor site morbidity.

引用

页数：11