Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2007
Closure of radial forearm free flap donor site defect with a local meshed full-thickness skin graft: a retrospective study of an original technique.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Karimi Abbas, Mahy Pierre, Reychler Hervé
Аннотация
INTRODUCTION: Closure of the radial free flap donor site remains a problem. Donor site morbidity is related to poor skin graft taking, inaesthetic appearance and hand sensory dysfunction.
PATIENTS AND METHODS: From January 1998 to December 2002, 41 radial free flaps were harvested. The donor site closure technique consisted of a combination of: flexor tendons coverage, purse string and local meshed full-thickness skin graft.
RESULTS: The mean time of wound healing of the donor site was 4.68 weeks. Four patients (16%) developed a partial necrosis of the skin graft. Nine patients (36%) showed a definitive hypoaesthesia in the dorsal region of the thumb. Neither total necrosis of the skin graft nor exposure of flexor carpi radialis tendon was noted. The average visual analogue scale of the aesthetics was 6 (patients), 4.18 (students) and 7.2 (first author) out of 10.
CONCLUSION: This technique for closing a small-to-medium sized radial donor site defect is recommended.
PATIENTS AND METHODS: From January 1998 to December 2002, 41 radial free flaps were harvested. The donor site closure technique consisted of a combination of: flexor tendons coverage, purse string and local meshed full-thickness skin graft.
RESULTS: The mean time of wound healing of the donor site was 4.68 weeks. Four patients (16%) developed a partial necrosis of the skin graft. Nine patients (36%) showed a definitive hypoaesthesia in the dorsal region of the thumb. Neither total necrosis of the skin graft nor exposure of flexor carpi radialis tendon was noted. The average visual analogue scale of the aesthetics was 6 (patients), 4.18 (students) and 7.2 (first author) out of 10.
CONCLUSION: This technique for closing a small-to-medium sized radial donor site defect is recommended.
Предметные рубрики MeSH
AdultAgedEstheticsFemaleFollow-Up StudiesForearmGraft SurvivalHumansHypesthesiaMaleMiddle AgedNecrosisPostoperative PainPatient SatisfactionPostoperative ComplicationsPlastic Surgery ProceduresRetrospective StudiesSkin TransplantationSurgical FlapsSuture TechniquesTendonsThumbTime FactorsTissue and Organ HarvestingWound Healing