Department of Otolaryngology - Head and Neck Surgery, The University of Ottawa, Ottawa, Ontario, Canada.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Jul;116(1):28-34. doi: 10.1016/j.oooo.2013.01.007. Epub 2013 Mar 22.
The purpose of this study was to prospectively assess clinical outcomes in patients undergoing a new method of donor site management for radial forearm free flaps.
177 patients underwent reconstruction of ablative defects of the head and neck using a radial forearm free-flap. All patients had topical tissue expansion tapes applied to their forearms preoperatively. Closure rates, healing time and complications associated with the technique were assessed.
Ninety-five percent of patients had their donor sites closed primarily with a locally harvested full thickness skin graft. Complications related to the tissue expansion device included a loss of device adhesion (19.3%) requiring reapplication and minor pruritic reactions (4.1%).
This system of donor site management has resulted in a significant reduction in the requirement of a split thickness skin graft for coverage of the donor site in a radial forearm free flap without any significant economic cost or patient morbidity.
本研究旨在前瞻性评估采用新的游离前臂桡侧皮瓣供区处理方法的患者的临床结果。
177 例患者因头颈部缺损接受游离前臂桡侧皮瓣重建。所有患者术前均在前臂应用局部组织扩张带。评估了该技术的闭合率、愈合时间和并发症。
95%的患者的供区通过局部游离全厚皮片移植一期闭合。与组织扩张器相关的并发症包括装置黏附丢失（19.3%），需要重新应用和轻微瘙痒反应（4.1%）。
这种供区处理系统显著减少了游离前臂桡侧皮瓣供区覆盖所需的中厚皮片，且没有显著的经济成本或患者发病率。
