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Gracilis donor site morbidity

M M Carr1, R T Manktelow, R M Zuker

  • 1Department of Otolaryngology, Dalhousie University, Halifax, Nova Scotia, Canada.

Microsurgery
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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Gracilis free tissue transfer complications were reviewed. While most patients reported minimal donor site issues, pediatric patients experienced more early complications and scar-related concerns.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Gracilis free tissue transfer is a reconstructive technique.
  • Assessing donor site morbidity is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate donor site morbidity following gracilis free tissue transfer.
  • To compare early and late complications between adult and pediatric patients.

Main Methods:

  • Retrospective chart review of 104 patients undergoing gracilis free tissue transfer.
  • Mail survey to assess late donor site complications and patient-reported outcomes.
  • Analysis of in-hospital and delayed complications.

Main Results:

  • 10% of patients experienced in-hospital donor site complications, with infection and pain being most common.

Related Experiment Videos

  • Pediatric patients had a higher incidence of early complications.
  • Late complications included scar noticeability (average score 5.12), sensitivity, tightness, and ugliness, with significant differences between age groups.
  • 15% reported temporary leg strength reduction (average 6 months).

    • Conclusions:

    • Gracilis free tissue transfer has a generally acceptable donor site morbidity profile.
    • Pediatric patients require specific attention for potential early complications and long-term scar perception.
    • Patient-reported outcomes highlight the importance of scar appearance and sensation in long-term satisfaction.