Abstract：
BACKGROUND: This study compares patient-reported functional and aesthetic outcomes of split-thickness skin graft (STSG) versus hatchet flap closure of radial forearm free flap (RFFF) donor site.
METHODS: Patients with RFFF (2015-2020) were retrospectively identified. Those willing to participate in patient-reported outcomes (PRO) filled out Patient-Observer Scar Assessment Scale (POSAS) and Michigan Hand Outcome Questionnaire (MHOQ).
RESULTS: 198 patients met our inclusion criteria and 81 participated in PRO. There was a higher rate of tendon exposure in STSG versus hatchet flap (11 vs. 1, p = 0.0019), but a lower rate of skin necrosis (5 vs. 16, p = 0.0190) and epidermolysis (1 vs. 12, p = 0.0028). Scar quality in STSG was superior to hatchet flap in all domains of POSAS. MHOQ scores were similar between both groups with no statistical difference in overall scores (p = 0.2165).
CONCLUSIONS: STSG appeared to have less compromise in activities of daily living, better satisfaction and improved scar quality than hatchet flap, but a higher rate of tendon exposure.
METHODS: 3 Laryngoscope, 2024.
METHODS: Patients with RFFF (2015-2020) were retrospectively identified. Those willing to participate in patient-reported outcomes (PRO) filled out Patient-Observer Scar Assessment Scale (POSAS) and Michigan Hand Outcome Questionnaire (MHOQ).
RESULTS: 198 patients met our inclusion criteria and 81 participated in PRO. There was a higher rate of tendon exposure in STSG versus hatchet flap (11 vs. 1, p = 0.0019), but a lower rate of skin necrosis (5 vs. 16, p = 0.0190) and epidermolysis (1 vs. 12, p = 0.0028). Scar quality in STSG was superior to hatchet flap in all domains of POSAS. MHOQ scores were similar between both groups with no statistical difference in overall scores (p = 0.2165).
CONCLUSIONS: STSG appeared to have less compromise in activities of daily living, better satisfaction and improved scar quality than hatchet flap, but a higher rate of tendon exposure.
METHODS: 3 Laryngoscope, 2024.
摘要：
背景：这项研究比较了患者报告的功能和美学结果，即对radial骨前臂游离皮瓣（RFFF）供体部位的分裂厚度皮肤移植（STSG）和斧头皮瓣闭合。
方法：对RFFF（2015-2020）患者进行回顾性分析。那些愿意参加患者报告结果（PRO）的人填写了患者-观察者疤痕评估量表（POSAS）和密歇根手结果问卷（MHOQ）。
结果：198例患者符合我们的纳入标准，81例患者参加了PRO。STSG与斧头瓣的肌腱暴露率较高（11vs.1，p=0.0019），但皮肤坏死率较低(5vs.16，p=0.0190）和表皮溶解（1vs.12，p=0.0028）。在POSAS的所有领域中，STSG的疤痕质量均优于斧头瓣。两组MHOQ评分相似，总分无统计学差异（p=0.2165）。
结论：STSG在日常生活活动中似乎不太妥协，更好的满意度和改进的疤痕质量比斧头皮瓣，但肌腱暴露率较高。
方法：3喉镜，2024.
方法：对RFFF（2015-2020）患者进行回顾性分析。那些愿意参加患者报告结果（PRO）的人填写了患者-观察者疤痕评估量表（POSAS）和密歇根手结果问卷（MHOQ）。
结果：198例患者符合我们的纳入标准，81例患者参加了PRO。STSG与斧头瓣的肌腱暴露率较高（11vs.1，p=0.0019），但皮肤坏死率较低(5vs.16，p=0.0190）和表皮溶解（1vs.12，p=0.0028）。在POSAS的所有领域中，STSG的疤痕质量均优于斧头瓣。两组MHOQ评分相似，总分无统计学差异（p=0.2165）。
结论：STSG在日常生活活动中似乎不太妥协，更好的满意度和改进的疤痕质量比斧头皮瓣，但肌腱暴露率较高。
方法：3喉镜，2024.
