Comprehensive assessment of the donor-site of the anterolateral thigh flap: A prospective study in 33 patients

被引：6
|
作者：
Bai, Shuang [1 ]
Zhang, Zhi-Qiang [2 ]
Wang, Zhi-Qiang [2 ]
Xu, Zhong-Fei [3 ,4 ]
Duan, Wei-Yi [3 ,4 ]
Liu, Fa-Yu [3 ,4 ]
Tan, Xue-Xin [3 ,4 ]
Sun, Chang-Fu [3 ,4 ]
机构：
[1] Naikai Univ, Tianjin Stomatol Hosp, Stomatol Hosp, Dept Oral & Maxillofacial Surg, Tianjin, Peoples R China
[2] China Med Univ, Shengjing Hosp, Rehabil Ctr, Shenyang, Liaoning, Peoples R China
[3] China Med Univ, Sch Stomatol, Dept Oromaxillofacial Head & Neck Surg, Shenyang, Liaoning, Peoples R China
[4] China Med Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Shenyang, Liaoning, Peoples R China
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2018年 / 40卷 / 07期
关键词：
assessment; anterolateral thigh (ALT) free flap; donor-site; free flap; isokinetic test; EXTREMITY RECONSTRUCTION; FUNCTIONAL ASSESSMENT; CLINICAL-EXPERIENCE; TORQUE COMPARISONS; KNEE EXTENSION; MORBIDITY; DEFECTS; COMPLICATIONS; PERFORATORS; ANATOMY;
D O I：
10.1002/hed.25109
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background: The anterolateral thigh (ALT) free flap has been an extremely versatile flap. The purpose of this study was to propose comprehensive functional assessments of the donor site. Methods: A total of 33 ALT flaps were enrolled prospectively. Objective assessments included isokinetic testing of the knee, and electromyographic examination of the lateral femoral cutaneous nerve (LFCN). The Patient and Observer Scar Assessment Scale (POSAS) was used to subjectively assess the donor-site scar. Results: On the donor side, a significant decrease in most isokinetic muscle strength values was obvious 1 year postoperatively (P<. 01). The normal side showed a compensatory increase 1 year postoperatively in the majority of isokinetic muscle strength values (P<. 05). The majority of patients (70%) showed decreased sensory conduction velocity of the LFCN or no response to the microcurrent stimulation postoperatively. The aesthetic outcome was satisfactory. Conclusion: The decline in functional parameters at the donor-site was common. However, much more research is needed.
引用
收藏
页码：1356 / 1365
页数：10
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