Département de chirurgie oncologique, Centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France.
Département de chirurgie oncologique, Institut Claudius-Regaud, Institut universitaire du cancer de Toulouse Oncopole, 31059 Toulouse, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Dec;138(6):431-435. doi: 10.1016/j.anorl.2021.03.005. Epub 2021 Mar 11.
Free anterolateral thigh flap has many applications in head and neck reconstruction surgery. The aims of the present study were: (1) to assess functional and esthetic sequelae of harvesting for oncologic purposes; and (2) to assess long-term impact of harvesting on quality of life according to patient and to physician.
Forty-one patients undergoing reconstruction by free anterolateral thigh flap following oncologic head and neck surgery were assessed by questionnaire at>6 months postoperatively. Donor site sequelae were assessed in consultation. Harvesting impact was assessed on 5-point Likert scales by patient and by surgeon.
Thirty nine percent of patients showed≥1 sequelae. Donor site sequela impact on sport, daily living and work was assessed by patients as none or mild in 94%, 98% and 100% of cases, respectively. Sixty-one percent of patients and 58.5% of surgeons considered scar esthetics to be discreet or very discreet.
Morbidity related to anterolateral thigh flap harvesting was low, and functional sequelae at the donor site were well tolerated. The scar was only moderately satisfactory, but could easily be hidden.
游离股前外侧皮瓣在头颈部重建手术中有广泛的应用。本研究旨在：（1）评估出于肿瘤治疗目的而采集时的功能和美观后遗症；（2）根据患者和医生评估采集对生活质量的长期影响。
41 例头颈部肿瘤术后行游离股前外侧皮瓣重建的患者，在术后>6 个月时通过问卷调查进行评估。咨询时评估供区的后遗症。患者和外科医生分别使用 5 分李克特量表评估采集的影响。
39%的患者存在≥1 种后遗症。94%、98%和 100%的患者分别认为供区后遗症对运动、日常生活和工作的影响为无或轻度。61%的患者和 58.5%的外科医生认为疤痕美观为不明显或非常不明显。
股前外侧皮瓣采集相关的发病率较低，供区的功能后遗症可良好耐受。疤痕仅为中等程度满意，但很容易隐藏。
