Toschka H, Feifel H, Erli H J, Minkenberg R, Paar O, Riediger D
Department of Oral, Maxillofacial and Plastic Facial Surgery, University of Technology Aachen, Germany.
Int J Oral Maxillofac Surg. 2001 Feb;30(1):42-8. doi: 10.1054/ijom.2000.0005.
There is controversy in the literature regarding donor site morbidity following radial forearm flap harvesting. The aim of this study was to verify possible functional and aesthetic impairments at the donor site. Thirty-five patients who underwent maxillofacial reconstruction using radial forearm flap were asked to give their subjective assessment of the aesthetic outcome at the donor site and of postoperative hand function. They were also examined for trophic status; cold intolerance and tactile sensitivity of split-thickness skin graft, palm and finger pads; grip strength and finger-to-thumb pinch strength; range of movement for the wrist and finger joints; as well as functional hand testing. Slight impairments regarding hand strength and mobility were observed. However, due to their small extent they were of no clinical relevance, as shown by 85.7% of our patients displaying optimal functional hand testing values (80-100%), and 88.6% giving a positive subjective assessment (80-100%) of postoperative vs preoperative hand function. The results show that donor site morbidity following radial forearm flap harvesting is low.
关于桡侧前臂皮瓣切取后供区并发症，文献中存在争议。本研究的目的是验证供区可能存在的功能和美学损害。35例行桡侧前臂皮瓣进行颌面重建的患者被要求对供区的美学效果和术后手部功能给出主观评价。还对他们进行了营养状况、中厚皮片、手掌和指腹的冷不耐受及触觉敏感性、握力和拇指对指捏力、腕关节和手指关节活动范围以及手部功能测试的检查。观察到手部力量和活动度有轻微损害。然而，由于其程度较轻，并无临床相关性，因为我们85.7%的患者手部功能测试值显示最佳（80 - 100%），88.6%的患者对术后与术前手部功能给出了积极的主观评价（80 - 100%）。结果表明，桡侧前臂皮瓣切取后的供区并发症发生率较低。
