دورية أكاديمية
Preoperative Examination Is Not Associated with Postoperative Function following Radial Forearm Free Flap Harvest.
| العنوان: | Preoperative Examination Is Not Associated with Postoperative Function following Radial Forearm Free Flap Harvest. |
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| المؤلفون: | Emanuelli E; From the Departments of Plastic Surgery., Egan KG; From the Departments of Plastic Surgery., Bins G; From the Departments of Plastic Surgery., Nazir N; Population Health., Bur AM; Otolaryngology, University of Kansas Medical Center., Kakarala K; Otolaryngology, University of Kansas Medical Center., Przylecki W; From the Departments of Plastic Surgery., Endress R; From the Departments of Plastic Surgery. |
| المصدر: | Plastic and reconstructive surgery [Plast Reconstr Surg] 2023 May 01; Vol. 151 (5), pp. 828e-837e. Date of Electronic Publication: 2022 Dec 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-4242 (Electronic) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Baltimore : Williams & Wilkins, |
| مواضيع طبية MeSH: | Free Tissue Flaps* , Plastic Surgery Procedures*/adverse effects, Humans ; Retrospective Studies ; Tissue Donors ; Hand |
| مستخلص: | Background: There is debate on the utility of a preoperative Allen test or ultrasound before radial forearm free flap (RFFF) harvest. This study sought to evaluate correlations between preoperative testing and donor-site morbidity. Methods: A survey of plastic surgery and otolaryngology RFFF patients was conducted at a Midwestern academic center. The modified Cold Intolerance Symptom Severity (modCISS) and Quick Disabilities of the Arm, Shoulder, and Hand (QDASH) instruments were administered. A retrospective chart review was performed to assess perioperative factors. Results: Of 212 RFFFs completed over 7 years, 144 patients were contacted, and 71 patients completed the survey (33% response rate). Preoperative Allen test was negative in 92% of patients (65 of 71). There was no statistical association between Allen test and duplex ultrasound findings ( P = 0.19). Cold intolerance screening was positive on 20% of donor arms (14 of 71), with an average positive modCISS score of 39.0 ± 14.7. Disability was reported on the QDASH by 76% of patients (54 of 71), with an average score of 21.0 ± 22.3. There was no statistical correlation between preoperative Allen test or ultrasound classification and modCISS or QDASH score. There was a borderline positive correlation between modCISS and QDASH scores that did not reach statistical significance ( r = 0.22, P = 0.067). Operative characteristics also did not predict modCISS or QDASH scores. Conclusions: Following RFFF harvest, donor extremity cold intolerance is reported in 20% of patients, and extremity-related disability is reported in the majority of patients. Preoperative ultrasound and physical examination findings are not predictive of morbidity. (Copyright © 2022 by the American Society of Plastic Surgeons.) |
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| تواريخ الأحداث: | Date Created: 20230202 Date Completed: 20230517 Latest Revision: 20230727 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/PRS.0000000000010089 |
| PMID: | 36729071 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1529-4242 |
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| DOI: | 10.1097/PRS.0000000000010089 |