Minkara A, Simmons M R, Goodale A, Patil Y J
Department of Otolaryngology Head and Neck Surgery,University of Cincinnati Medical Center/College of Medicine,Ohio,USA.
Department of Biostatistics and Bioinformatics,University of Cincinnati Medical Center/College of Medicine,Ohio,USA.
J Laryngol Otol. 2019 Mar;133(3):230-235. doi: 10.1017/S0022215119000197. Epub 2019 Feb 28.
Evaluation of post-operative donor site disability remains unaddressed in radial forearm free flap cases. This study aimed to assess donor site dysfunction following radial forearm free flap harvest using validated general, disease-specific and site-specific disability questionnaires.
In this retrospective case series of 24 patients at a tertiary academic medical centre, patients were assessed using the Short Form 36 Health Survey, Short Musculoskeletal Function Assessment questionnaire, and Disabilities of the Arm, Shoulder and Hand questionnaire. One-sample z-tests were performed, comparing means of the cohort to controls.
Compared to population controls, the cohort had higher mean scores for the Disabilities of the Arm, Shoulder and Hand questionnaire (18.22 vs 10.1, p < 0.01), and Short Musculoskeletal Function Assessment questionnaire bothersome index (21.44 vs 13.77, p = 0.04), and a lower mean score for the Short Form 36 Health Survey physical component (38.88 vs 50, p < 0.01), indicating a greater disability for the cohort compared to controls.
Radial forearm free flap harvest causes significant long-term donor site disability in head and neck tumour patients. The Disabilities of the Arm, Shoulder and Hand questionnaire is a concise tool for measuring this dysfunction.
在前臂桡侧游离皮瓣病例中，术后供区功能障碍的评估仍未得到解决。本研究旨在使用经过验证的一般、疾病特异性和部位特异性残疾问卷，评估前臂桡侧游离皮瓣切取术后的供区功能障碍。
在一家三级学术医疗中心对24例患者进行的这项回顾性病例系列研究中，使用简短健康调查问卷36项、简短肌肉骨骼功能评估问卷和手臂、肩部和手部残疾问卷对患者进行评估。进行单样本z检验，将该队列的均值与对照组进行比较。
与总体对照组相比，该队列在手臂、肩部和手部残疾问卷中的平均得分更高（18.22对10.1，p<0.01），在简短肌肉骨骼功能评估问卷的困扰指数方面也更高（21.44对13.77，p = 0.04），而在简短健康调查问卷36项的身体成分方面平均得分更低（38.88对50，p<0.01），表明该队列与对照组相比残疾程度更大。
前臂桡侧游离皮瓣切取会导致头颈部肿瘤患者供区出现明显的长期功能障碍。手臂、肩部和手部残疾问卷是测量这种功能障碍的一种简明工具。
