Comparison between primary closure and skin grafts of the free fibula osteocutaneous flap donor site

被引：13

作者：

Akashi M. ^{[1
]}

Hashikawa K. ^{[2
]}

Takasu H. ^{[2
]}

Watanabe K. ^{[1
]}

Kusumoto J. ^{[1
]}

Sakakibara A. ^{[1
]}

Hasegawa T. ^{[1
]}

Minamikawa T. ^{[1
]}

Komori T. ^{[1
]}

机构：

[1] Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kusunoki-cho 7-5-1, Chuo-ku, Kobe

[2] Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe

来源：

Oral and Maxillofacial Surgery | 2016年 / 20卷 / 3期

关键词：

Donor site morbidity; Free fibula osteocutaneous flap; Primary closure; Skin graft;

D O I：

10.1007/s10006-016-0556-3

中图分类号：

学科分类号：

摘要：

Purpose: This study aimed to compare the size of skin paddles, the postoperative course, and donor site complications between primary closure and skin grafts of the free fibula flap donor site. Methods: Thirty-five consecutive patients were enrolled. Medical records were retrospectively reviewed for risk factors for delayed healing, size of skin paddles, time to resumption of gait with a mobility aid and self-ambulation, early donor site morbidity, and late donor site complaints. Results: The harvested skin paddles were significantly wider in the skin graft group than in the primary closure group (P = 0.02), with no difference in length (P = 0.1). The difference in time to resuming gait with a mobility aid was also significant (P = 0.01), but not the time to self-ambulation (P = 0.9). Two early donor site morbidities (5.7 %) and 12 late donor site complaints (34.3 %) were found. No significant difference in the incidence of early donor site morbidity was observed between two groups. Occurrence of late donor site complaints was not affected by any risk factors. Conclusions: The width of the harvested skin paddle, but not the length, is one of factors involved in donor site closure. Resumption of gait with a mobility aid, but not self-ambulation, may be delayed in skin graft patients. © 2016, Springer-Verlag Berlin Heidelberg.

引用

页码：233 / 237

页数：4

共 13 条

[1]

Shindo M., Fong B.P., Funk G.F., Karnell L.H., The fibula osteocutaneous flap in head and neck reconstruction: a critical evaluation of donor site morbidity, Arch Otolaryngol Head Neck Surg, 126, pp. 1467-1472, (2000)

[2]

Massarelli O., Gobbi R., Biglio A., Soma D., Tullio A., Chimeric lateral supramalleolar artery perforator fibula free flap in the reconstruction of composite head and neck defects, Plast Reconstr Surg, 133, pp. 130-136, (2014)

[3]

Urken M.L., Weinberg H., Buchbinder D., Moscoso J.F., Lawson W., Catalano P.J., Et al., Microvascular free flaps in head and neck reconstruction. Report of 200 cases and review of complications, Arch Otolaryngol Head Neck Surg, 120, pp. 633-640, (1994)

[4]

Wang Y.Y., Fan S., Zhang D.M., Lin Z.Y., Chen W.L., Li J.S., Novel local full-thickness skin grafts for closure of free fibular osteocutaneous flap donor sites, J Oral Maxillofac Surg, (2015)

[5]

Bach C.A., Guillere L., Yildiz S., Wagner I., Darmon S., Chabolle F., Comparison of negative pressure wound therapy and conventional dressing methods for fibula free flap donor site management in patients with head and neck cancer, Head Neck, (2014)

[6]

Momoh A.O., Yu P., Skoracki R.J., Liu S., Feng L., Hanasono M.M., A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients, Plast Reconstr Surg, 128, pp. 714-720, (2011)

[7]

Vittayakittipong P., Donor-site morbidity after fibula free flap transfer: a comparison of subjective evaluation using a visual analogue scale and point evaluation system, Int J Oral Maxillofac Surg, 42, pp. 956-961, (2013)

[8]

Li P., Fang Q., Qi J., Luo R., Sun C., Risk factors for early and late donor-site morbidity after free fibula flap harvest, J Oral Maxillofac Surg, 73, pp. 1637-1640, (2015)

[9]

Bodde E.W., de Visser E., Duysens J.E., Hartman E.H., Donor-site morbidity after free vascularized autogenous fibular transfer: subjective and quantitative analyses, Plast Reconstr Surg, 111, pp. 2237-2242, (2003)

[10]

Akashi M., Nomura T., Sakakibara S., Sakakibara A., Hashikawa K., Preoperative MR angiography for free fibula osteocutaneous flap transfer, Microsurgery, 33, pp. 454-459, (2013)

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