Surgical Oncology Department, Centre Léon Berard, 28 rue Laennec, 69008, Lyon, France.
Maxillofacial Surgery Department, University Hospital-Bordeaux, Bordeaux, France.
Eur Arch Otorhinolaryngol. 2021 Oct;278(10):4051-4058. doi: 10.1007/s00405-021-06649-0. Epub 2021 Mar 15.
Radial forearm free flap (RFFF) being a workhorse flap in head and neck reconstruction, we investigated its donor site delayed consequences.
Multicentric case series evaluating 189 patients who underwent RFFF for carcinologic reasons at least 6 months before. Patients and surgeon's appreciation regarding the aesthetic and functional consequences of the flap harvest on their daily life were evaluated by questionnaires using likert scales. Medical data were collected from patients' charts retrospectively.
Thirty percent of patients had at least one sequelae. Experiencing a graft necrosis did not worsen long-term results. Cosmetic satisfaction was significantly worst for women, according to patients' and surgeons' opinion. For 81% and 92% patients, respectively, the flap harvest had no impact on daily life nor sport practice. Ratio between the benefits of reconstruction and the sequelae at the donor site was judged "excellent" for 77% patients.
Although objectively important, RFFF morbidity has little impact in head and neck cancer patient's life.
游离桡侧前臂皮瓣（RFFF）是头颈部重建的主力皮瓣，我们研究了其供区延迟的后果。
对至少在 6 个月前因癌症原因接受 RFFF 的 189 例患者进行了多中心病例系列研究。通过问卷调查和李克特量表评估患者和外科医生对皮瓣采集对日常生活的美观和功能后果的看法。从患者的病历中回顾性地收集了医学数据。
30%的患者至少有一个后遗症。移植组织坏死并没有使长期结果恶化。根据患者和外科医生的意见，女性的美容满意度明显较差。分别有 81%和 92%的患者认为皮瓣采集对日常生活和运动无影响。77%的患者认为重建的益处与供区后遗症的比值“极好”。
尽管桡侧前臂皮瓣的发病率在客观上很重要，但对头颈部癌症患者的生活影响很小。
