Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand.
Int J Oral Maxillofac Surg. 2013 Aug;42(8):956-61. doi: 10.1016/j.ijom.2013.04.004. Epub 2013 May 14.
The aims of this study were: (1) to compare the visual analogue scale (VAS) with the point evaluation system (PES) in the subjective evaluation of donor-site morbidity after fibula free flap transfer; (2) to compare the functional outcomes of fibula free flap surgery between patients with a normal body mass index (BMI) and patients with a high BMI, and between skin paddle and non-skin paddle harvesting; and (3) to determine the correlation between functional outcomes and related factors. This study included 15 patients who underwent a vascularized fibula free flap transfer for oral and maxillofacial reconstruction. Demographic data, preoperative, intraoperative, and postoperative data were collected. Subjective self-evaluation of functional outcomes was done using a VAS followed by a PES. Comparison of the VAS and PES scores was assessed with Pearson's correlation coefficient. The statistical significance was set at P<0.05. The VAS score was significantly correlated with the PES score (r=0.63, P=0.01). The tourniquet times for the skin paddle group were longer than for the non-skin paddle group (P=0.02), while the satisfaction score of the non-skin paddle group was higher than that of the skin paddle group (P=0.03). The VAS is a potential option for the subjective evaluation of donor-site morbidity after fibula free flap transfer.
(1) 比较腓骨游离皮瓣移植后供区并发症的主观评估中视觉模拟评分法（VAS）与点评估系统（PES）；(2) 比较正常体重指数（BMI）患者与高 BMI 患者、皮瓣组与非皮瓣组的腓骨游离皮瓣手术的功能结果；(3) 确定功能结果与相关因素之间的相关性。本研究纳入了 15 例行血管化腓骨游离皮瓣移植以进行口腔颌面部重建的患者。收集了人口统计学数据、术前、术中及术后数据。采用 VAS 及 PES 对患者的功能结果进行主观自评。采用 Pearson 相关系数评估 VAS 与 PES 评分的相关性。统计学显著性水平设为 P<0.05。VAS 评分与 PES 评分显著相关（r=0.63，P=0.01）。皮瓣组的止血带时间长于非皮瓣组（P=0.02），而非皮瓣组的满意度评分高于皮瓣组（P=0.03）。VAS 是腓骨游离皮瓣移植后供区并发症主观评估的一种潜在选择。
