Fang Qi-Gen, Shi Shuang, Zhang Xu, Li Zhen-Ning, Liu Fa-Yu, Sun Chang-Fu
Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Liaoning, China.
J Int Med Res. 2014 Feb;42(1):231-5. doi: 10.1177/0300060513508041. Epub 2013 Dec 10.
To determine the effect of radial forearm free (RFF) flap harvest on patient-reported postoperative upper extremity disability.
Patients undergoing RFF flap reconstruction following resection of head and neck cancer were recruited and matched with similar patients undergoing non-RFF reconstruction. All subjects completed the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire preoperatively and at least 1 year postoperatively.
Postoperative DASH scores were significantly higher (more severe disability) in patients undergoing RFF flap reconstruction (6.93 ± 5.54; n = 52) compared with those undergoing non-RFF flap surgeries (2.95 ± 4.42; n = 52). Preoperative DASH score, flap size, patient age and tumour stage were significantly correlated with postoperative DASH score.
Excluding the effect of neck dissection, RFF flap reconstruction has a significant deleterious effect on upper extremity function.
确定前臂桡侧游离（RFF）皮瓣切取对患者报告的术后上肢功能障碍的影响。
招募接受头颈癌切除术后行RFF皮瓣重建的患者，并与接受非RFF重建的类似患者进行匹配。所有受试者在术前和术后至少1年完成手臂、肩部和手部功能障碍（DASH）问卷。
与接受非RFF皮瓣手术的患者（2.95±4.42；n = 52）相比，接受RFF皮瓣重建的患者术后DASH评分显著更高（功能障碍更严重）（6.93±5.54；n = 52）。术前DASH评分、皮瓣大小、患者年龄和肿瘤分期与术后DASH评分显著相关。
排除颈部清扫的影响，RFF皮瓣重建对上肢功能有显著的有害影响。
