Der suprafaszial gehobene freie Unterarmlappen - Indikationen, Operationstechnik und Nachuntersuchung des Hebedefektes
| العنوان: | Der suprafaszial gehobene freie Unterarmlappen - Indikationen, Operationstechnik und Nachuntersuchung des Hebedefektes |
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| المؤلفون: | Sophia C.-N. Chang, Shiouw-Shuh Chuang, Barbara S. Lutz, Fu-Chan Wei |
| المصدر: | Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 31:10-14 |
| بيانات النشر: | Georg Thieme Verlag KG, 1999. |
| سنة النشر: | 1999 |
| مصطلحات موضوعية: | medicine.medical_specialty, Radial forearm, business.industry, Treatment outcome, Follow up studies, Pinch Strength, Wrist, Surgery, Grip strength, medicine.anatomical_structure, medicine, Orthopedics and Sports Medicine, business, Range of motion, Prospective cohort study |
| الوصف: | From March 1995 to May 1997, 66 free radial forearm flaps were used for orofacial reconstructions. All flaps were elevated following the suprafascial technique. Donor-site closure was performed with split-thickness skin grafts in 54 cases, and with full-thickness skin grafts in 12 patients. Investigations after six months included grip strength, pulp-to-pulp pinch strength, range of motion as compared to preoperative values, aesthetical self-assessment, cold intolerance, and dysesthesias. The latter evaluation could be performed in 42 patients, whereas the complete follow-up protocol included 36 patients. Primary wound healing with immediate complete take of skin grafts was achieved in 93.9%. Grip strength and pulp-to-pulp pinch strength showed no decrease postoperatively. An impairment of range of motion of the wrist was observed in 2.8%. There was no cold intolerance. Aesthetical outcome was rated as good or fair in 97.3%. Slight numbness distally to the donor-site was found in 59.5%. The results of this prospective study show a superiority of suprafascial elevation of the radial foream flap as compared to the classic elevation technique, particularly in a higher rate of primary wound healing, thus avoiding impairment of range of motion and strength of the donor hand. |
| تدمد: | 1439-3980 0722-1819 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::c3ca71ab11d61d9dafd0525c185da103Test https://doi.org/10.1055/s-1999-13899Test |
| رقم الانضمام: | edsair.doi...........c3ca71ab11d61d9dafd0525c185da103 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14393980 07221819 |
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