کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4110094 1605723 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of radial forearm flap and thoracodorsal artery perforator flap donor site morbidity for reconstruction of oral and oropharyngeal defects in head and neck cancer
ترجمه فارسی عنوان
مقایسه میزان مسمومیت ناحیه ساپورت رادیال سائولی و فوریتور سونوگرافی عروق مغزی برای بازسازی نقایص دهان و رحم در سرطان سر و گردن
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

IntroductionReconstruction of the oral cavity and oropharynx after tumour resection often involves the use of free flaps, but donor site morbidity must be taken into account. The radial forearm flap, the flap most commonly used in this setting, leaves a readily visible scar on an exposed region of the body. The thoracodorsal artery perforator flap (TDAP), which possesses the same plastic qualities as the radial forearm flap, leaves a scar that is hidden in the axilla. The purpose of this study was to evaluate the cosmetic results of radial forearm and thoracodorsal artery perforator free flap donor sites.Material and methodsThe medical charts of all patients undergoing reconstruction by a radial forearm or thoracodorsal artery perforator free flap between January 2011 and December 2011 were retrospectively reviewed. The Patient and Observer Scar Assessment Scales and the Vancouver Scar Scale were used to evaluate the quality of the scars.ResultsReconstruction was performed by radial forearm flap in 4 cases and TDAP flap in 7 cases. The PSAS score was significantly lower in the TDAP group than in the radial forearm group (P = 0.03), and the OSAS score was higher in the radial forearm group (21.5 versus 14). The Vancouver Scar Scale was significantly higher for radial forearm flap scars than for TDAP scars (8 versus 2.7, P = 0.005).ConclusionThis is the first study to compare radial forearm and thoracodorsal artery perforator free flap donor site scars. It demonstrates the minimal TDAP donor site morbidity and the high level of patient satisfaction.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Annals of Otorhinolaryngology, Head and Neck Diseases - Volume 132, Issue 4, September 2015, Pages 185–189
نویسندگان
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