Abstract：
OBJECTIVE: This study aimed to evaluate patient-reported quality of life and incidence of decision regret in patients undergoing radial (RFFF) and ulnar forearm-free flaps (UFFF) reconstruction.
METHODS: Patients undergoing either RFFF or UFFF were assessed with the University of Washington Quality of Life (UW-QOL) and Oral Health Impact Profile (OHIP-14) questionnaires, and the Decision Regret Scale (DRS), both before and at least 12 months post-reconstruction.
RESULTS: In total, 40 RFFF and 40 UFFF were included. Harvesting time was longer in RFFF (p = 0.043), and the donor-site defect was significantly larger in RFFF than in UFFF (p = 0.044). Patients with UFFF scored better UW-QOL in the appearance, pain, activity, mood, and social functioning domains (p < 0.05). However, the RFFF group excelled in swallowing and chewing domains. The DRS score revealed a significant difference between RFFF and UFFF, with scores of 36.26 versus 27.36, respectively. Moreover, the mean DRS score reduced at 12 months compared with 6 months, significantly superior for UFFF.
CONCLUSIONS: Oral cancer patients reconstructed with UFFF exhibited a better appearance, social domain, and mild decision regret compared with RFFF, indicating that the UFFF may contribute to improving postoperative quality of life in oral cancer patients.
METHODS: Patients undergoing either RFFF or UFFF were assessed with the University of Washington Quality of Life (UW-QOL) and Oral Health Impact Profile (OHIP-14) questionnaires, and the Decision Regret Scale (DRS), both before and at least 12 months post-reconstruction.
RESULTS: In total, 40 RFFF and 40 UFFF were included. Harvesting time was longer in RFFF (p = 0.043), and the donor-site defect was significantly larger in RFFF than in UFFF (p = 0.044). Patients with UFFF scored better UW-QOL in the appearance, pain, activity, mood, and social functioning domains (p < 0.05). However, the RFFF group excelled in swallowing and chewing domains. The DRS score revealed a significant difference between RFFF and UFFF, with scores of 36.26 versus 27.36, respectively. Moreover, the mean DRS score reduced at 12 months compared with 6 months, significantly superior for UFFF.
CONCLUSIONS: Oral cancer patients reconstructed with UFFF exhibited a better appearance, social domain, and mild decision regret compared with RFFF, indicating that the UFFF may contribute to improving postoperative quality of life in oral cancer patients.
摘要：
目的：本研究旨在评估放射状（RFFF）和尺骨前臂游离皮瓣（UFFF）重建患者报告的生活质量和决策遗憾的发生率。
方法：使用华盛顿大学生活质量（UW-QOL）和口腔健康影响概况（OHIP-14）问卷对接受RFFF或UFFF的患者进行评估，和决策后悔量表(DRS)，重建前和重建后至少12个月。
结果：总计，包括40个RFFF和40个UFFF。RFFF的收获时间更长(p=0.043)，RFFF的供体部位缺损明显大于UFFF（p=0.044）。UFFF患者在外观上获得更好的UW-QOL，疼痛,活动,心情,和社会功能域(p<0.05)。然而,RFFF小组在吞咽和咀嚼领域表现出色。DRS评分显示RFFF和UFFF之间存在显着差异，得分分别为36.26和27.36。此外，与6个月相比，12个月时的平均DRS评分降低，明显优于UFFF。
结论：用UFFF重建的口腔癌患者表现出更好的外观，社会领域,与RFFF相比，轻微的决策后悔，表明UFFF可能有助于改善口腔癌患者的术后生活质量。
方法：使用华盛顿大学生活质量（UW-QOL）和口腔健康影响概况（OHIP-14）问卷对接受RFFF或UFFF的患者进行评估，和决策后悔量表(DRS)，重建前和重建后至少12个月。
结果：总计，包括40个RFFF和40个UFFF。RFFF的收获时间更长(p=0.043)，RFFF的供体部位缺损明显大于UFFF（p=0.044）。UFFF患者在外观上获得更好的UW-QOL，疼痛,活动,心情,和社会功能域(p<0.05)。然而,RFFF小组在吞咽和咀嚼领域表现出色。DRS评分显示RFFF和UFFF之间存在显着差异，得分分别为36.26和27.36。此外，与6个月相比，12个月时的平均DRS评分降低，明显优于UFFF。
结论：用UFFF重建的口腔癌患者表现出更好的外观，社会领域,与RFFF相比，轻微的决策后悔，表明UFFF可能有助于改善口腔癌患者的术后生活质量。
