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Published on: October 14, 2013
Donor site morbidity after microvascular fibula transfer
C E Zimmermann1, B I Börner, A Hasse
1Department of Maxillofacial Surgery, University Hospital of Lübeck, Germany. C.E.Zimmermann@gmx.de
Clinical Oral Investigations
|January 22, 2002
Summary
Free fibula flap reconstruction for head and neck cancer has significant donor site morbidity. Patients experience early wound complications and late functional deficits, requiring thorough informed consent.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Oncology
Background:
- Free microvascular fibula and soft tissue transfer is a common method for head and neck reconstruction.
- Limited data exists on donor site morbidity specifically for mandibular reconstructions using fibula grafts.
Purpose of the Study:
- To evaluate early and late donor site morbidity following free fibula flap reconstruction for mandibular defects.
- To assess the incidence and nature of complications and functional deficits at the fibula donor site.
Main Methods:
- Retrospective chart review of 42 patients undergoing fibula flap reconstruction.
- Standardized patient interviews and physical examinations for morbidity assessment.
- Average follow-up period of 34 months post-surgery.
Main Results:
- 38.1% of patients experienced complicated wound healing at the donor site.
- Subjective complaints included discomfort, pain, and swelling in approximately 25% of patients.
- Objective findings revealed high rates of sensory deficits (76.3%), motor deficits (39.5%), and reduced strength (44.7%).
Conclusions:
- Significant early and late donor site morbidity is associated with fibula free flap harvest.
- Morbidity includes wound healing issues and functional deficits, impacting patient recovery.
- Comprehensive patient counseling regarding potential donor site complications is essential before opting for fibula grafts.
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