The lateral forearm flap versus traditional upper extremity flaps: A comparison of donor site morbidity and flap thickness.
Head Neck
; 45(9): 2413-2423, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-37464915
ABSTRACT
INTRODUCTION:
The lateral forearm flap (LFF) is a thin fasciocutaneous flap with a donor site that can be closed primarily.METHODS:
A retrospective analysis of donor site morbidity and hand function was performed in patients who underwent a radial forearm flap (RFF), ulnar artery perforator flap (UAPF), or LFF. Flap thickness was evaluated radiographically in 50 control patients.RESULTS:
Of 134 patients (lateral forearm flap n = 49, RFF n = 47, UAPF n = 38), the LFF demonstrated significantly faster return to baseline hand grip strength (3 months vs. 12 months in RFF and UAPF; p < 0.001), had significantly fewer donor site complications (6.1% compared to 6.4% in RFF and 28.9% in UAPF; p = 0.003) and fewer sensory deficits (2.0% compared to 6.4% in RFF and 15.8% in UAPF sites; p = 0.013). The radiographic study confirmed the LFF to be the thinnest of all upper extremity flap options.CONCLUSIONS:
The LFF is an excellent forearm-based flap option with thin, pliable tissue and low donor site morbidity.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos de Cirurgia Plástica
/
Antebraço
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
Head Neck
Assunto da revista:
NEOPLASIAS
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos