Affiliation:
1. Department of Otolaryngology‐Head & Neck Surgery Mass Eye and Ear, Harvard Medical School Boston Massachusetts USA
2. Howe Library, Mass Eye and Ear Boston Massachusetts USA
Abstract
AbstractBackgroundComparisons of patient‐reported donor site morbidity based on the Disabilities in Arm, Shoulder, and Hand (DASH) instrument across upper trunk free flaps in head and neck surgery, including radial forearm (RFFF), osteocutaneous radial forearm (OCRFF), scapular tip (STFF), and serratus anterior (SAFF) free flaps, may help inform donor tissue selection.MethodsIn this meta‐analysis, 12 studies were included and the primary outcome was average DASH score.ResultsThe pooled DASH scores were 12.14 (95% CI: 7.40–16.88) for RFFF (5 studies), 17.99 (11.87–24.12) for OCRFF (2 studies), 12.19 (8.74–15.64) for STFF (3 studies), and 16.49 (5.92–27.05) for SAFF (2 studies) and were not significantly different.ConclusionsResults suggest that patients generally function well, with minimal to mild donor site morbidity, when assessed at an average of 20 months after flap harvest. These results are based on few effects from primarily retrospective studies of fair quality, and further research is needed.
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2 articles.
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