Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap)
Extensive defects in the head and neck area often require the use of advanced free flap reconstruction techniques. In this study, the thoracodorsal perforator-scapular free flap technique based on the angular artery (TDAP-Scap-aa flap) was postoperatively evaluated regarding the quality of life and...
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| Format: | Article |
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MDPI AG
2022-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/16/4876 |
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| author | Jürgen Wallner Marcus Rieder Michael Schwaiger Bernhard Remschmidt Wolfgang Zemann Mauro Pau |
| author_facet | Jürgen Wallner Marcus Rieder Michael Schwaiger Bernhard Remschmidt Wolfgang Zemann Mauro Pau |
| author_sort | Jürgen Wallner |
| collection | DOAJ |
| description | Extensive defects in the head and neck area often require the use of advanced free flap reconstruction techniques. In this study, the thoracodorsal perforator-scapular free flap technique based on the angular artery (TDAP-Scap-aa flap) was postoperatively evaluated regarding the quality of life and the donor site morbidity using the standardized SF-36 and DASH questionnaires (short form health 36 and disabilities of the arm, shoulder and hand scores). Over a five-year period (2016–2020), 20 selected cases (<i>n</i> = 20) requiring both soft and hard tissue reconstruction were assessed. On average, the harvested microvascular free flaps consisted of 7.8 ± 2.1 cm hard tissue and 86 ± 49.8 cm<sup>2</sup> soft tissue components. At the donor site (subscapular region), only a mild morbidity was observed (DASH score: 21.74 ± 7.3 points). When comparing the patients’ postoperative quality of life to the established values of the healthy German norm population, the observed SF-36 values were within the upper third (>66%) of these established norm values in almost all quality-of-life subcategories. The mild donor site morbidity and the observed quality of life indicate only a small postoperative impairment when using the TDAP-Scap-aa free flap for the reconstruction of extensive maxillofacial defects. |
| first_indexed | 2024-03-09T13:10:25Z |
| format | Article |
| id | doaj.art-3b927d46cb6f4de382c782a38e6df9af |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T13:10:25Z |
| publishDate | 2022-08-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3b927d46cb6f4de382c782a38e6df9af2023-11-30T21:41:56ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011116487610.3390/jcm11164876Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap)Jürgen Wallner0Marcus Rieder1Michael Schwaiger2Bernhard Remschmidt3Wolfgang Zemann4Mauro Pau5Department of Maxillofacial Surgery, Medical University Graz, 8036 Graz, AustriaDepartment of Maxillofacial Surgery, Medical University Graz, 8036 Graz, AustriaDepartment of Maxillofacial Surgery, Medical University Graz, 8036 Graz, AustriaDepartment of Maxillofacial Surgery, Medical University Graz, 8036 Graz, AustriaDepartment of Maxillofacial Surgery, Medical University Graz, 8036 Graz, AustriaDepartment of Maxillofacial Surgery, Medical University Graz, 8036 Graz, AustriaExtensive defects in the head and neck area often require the use of advanced free flap reconstruction techniques. In this study, the thoracodorsal perforator-scapular free flap technique based on the angular artery (TDAP-Scap-aa flap) was postoperatively evaluated regarding the quality of life and the donor site morbidity using the standardized SF-36 and DASH questionnaires (short form health 36 and disabilities of the arm, shoulder and hand scores). Over a five-year period (2016–2020), 20 selected cases (<i>n</i> = 20) requiring both soft and hard tissue reconstruction were assessed. On average, the harvested microvascular free flaps consisted of 7.8 ± 2.1 cm hard tissue and 86 ± 49.8 cm<sup>2</sup> soft tissue components. At the donor site (subscapular region), only a mild morbidity was observed (DASH score: 21.74 ± 7.3 points). When comparing the patients’ postoperative quality of life to the established values of the healthy German norm population, the observed SF-36 values were within the upper third (>66%) of these established norm values in almost all quality-of-life subcategories. The mild donor site morbidity and the observed quality of life indicate only a small postoperative impairment when using the TDAP-Scap-aa free flap for the reconstruction of extensive maxillofacial defects.https://www.mdpi.com/2077-0383/11/16/4876quality-of-lifedonor site morbidityhead and neck reconstructionscapular free flaponcological outcomemicrovascular reconstruction |
| spellingShingle | Jürgen Wallner Marcus Rieder Michael Schwaiger Bernhard Remschmidt Wolfgang Zemann Mauro Pau Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap) Journal of Clinical Medicine quality-of-life donor site morbidity head and neck reconstruction scapular free flap oncological outcome microvascular reconstruction |
| title | Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap) |
| title_full | Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap) |
| title_fullStr | Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap) |
| title_full_unstemmed | Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap) |
| title_short | Donor Site Morbidity and Quality of Life after Microvascular Head and Neck Reconstruction with a Chimeric, Thoracodorsal, Perforator-Scapular Flap Based on the Angular Artery (TDAP-Scap-aa Flap) |
| title_sort | donor site morbidity and quality of life after microvascular head and neck reconstruction with a chimeric thoracodorsal perforator scapular flap based on the angular artery tdap scap aa flap |
| topic | quality-of-life donor site morbidity head and neck reconstruction scapular free flap oncological outcome microvascular reconstruction |
| url | https://www.mdpi.com/2077-0383/11/16/4876 |
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