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Patient-Reported Outcomes after Fibula Free Flap Harvest: A Pilot Study.

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This summary is machine-generated.

Patients undergoing fibula free flap reconstruction for head and neck cancer experience significant donor-site morbidity, impacting ankle support, balance, and overall quality of life. Targeted rehabilitation is crucial for improving functional outcomes.

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Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Patient-Reported Outcomes

Background:

  • Fibula free flap (FFF) is a common method for head and neck reconstruction.
  • Donor-site morbidity and its impact on patient quality of life (QoL) after FFF harvest are not well-documented.
  • Understanding patient-reported outcomes is essential for comprehensive care.

Purpose of the Study:

  • To evaluate donor-site morbidity and QoL in patients who underwent head and neck reconstruction using FFF.
  • To identify specific challenges and functional limitations experienced by patients post-harvest.
  • To provide data for developing targeted rehabilitation strategies.

Main Methods:

  • Retrospective review of patients undergoing FFF for head and neck reconstruction (2011-2016).
  • Assessment using physical examination, Foot and Ankle Outcome Score (FAOS), and Pain Disability Questionnaire (PDQ).
  • Thematic analysis of semistructured interviews to explore donor-site challenges.

Main Results:

  • Seventeen patients participated (mean age 62, mean follow-up 38 months).
  • Mean perceived function was 67% of baseline; FAOS scores indicated mild-moderate issues in sport and QoL subscales.
  • Donor limbs showed reduced range of motion and muscle strength; common challenges included lack of ankle support and balance.
  • PDQ scores indicated mild/moderate disability.

Conclusions:

  • Patients undergoing FFF harvest report significant challenges with ankle support and balance.
  • These functional deficits negatively impact daily activities and overall quality of life.
  • Multidisciplinary rehabilitation programs are needed to address these donor-site issues and improve patient QoL.