PDF(Pubmed)
Abstract：
UNASSIGNED: A systematic review of the literature on the donor site morbidity in patients undergoing Maxillofacial reconstruction was performed. The two widely used flaps namely free fibula flap (FFF) and DCIA flap were compared to answer the following questions: (1) Is donor site morbidity significantly different in patients undergoing maxillofacial reconstruction with FFF and DCIA flap? (2) Should donor site morbidity be considered as the criteria for choosing the flap for reconstruction.
UNASSIGNED: The search strategy was based on PRISMA guidelines. Various electronic databases were searched. On reviewing the seven articles included in our systematic review, we found out oral squamous cell carcinoma to be the most common pathology leading to the defects in head and neck region requiring reconstruction with free flaps.
UNASSIGNED: A total of 531 participants were investigated who underwent maxillofacial reconstruction using FFF and DCIA flap. The study included both the genders. The participants were assessed for short- and long-term donor site morbidity after the microvascular surgery. Mean age is 45-60 years. Three out of seven studies showed DCIA to have lesser complications at donor site than fibula group. While other two studies proved FFF to be better than DCIA. One study proved low donor site morbidity with regard to both the flap.
UNASSIGNED: The free fibula being the flap of choice in head and neck reconstruction has a comparable donor site morbidity to DCIA. The advantages of the iliac artery flap include natural curvature, abundant vertical and horizontal bone height for bone contouring and osseointegration, hidden scar, low incidence of wound healing problems and minimal effect on function and quality of life at long-term follow-up. Thus, it makes it the free flap of choice that one cannot avoid. This systematic review was registered at PROSPERO (CRD42021268949).
UNASSIGNED: The search strategy was based on PRISMA guidelines. Various electronic databases were searched. On reviewing the seven articles included in our systematic review, we found out oral squamous cell carcinoma to be the most common pathology leading to the defects in head and neck region requiring reconstruction with free flaps.
UNASSIGNED: A total of 531 participants were investigated who underwent maxillofacial reconstruction using FFF and DCIA flap. The study included both the genders. The participants were assessed for short- and long-term donor site morbidity after the microvascular surgery. Mean age is 45-60 years. Three out of seven studies showed DCIA to have lesser complications at donor site than fibula group. While other two studies proved FFF to be better than DCIA. One study proved low donor site morbidity with regard to both the flap.
UNASSIGNED: The free fibula being the flap of choice in head and neck reconstruction has a comparable donor site morbidity to DCIA. The advantages of the iliac artery flap include natural curvature, abundant vertical and horizontal bone height for bone contouring and osseointegration, hidden scar, low incidence of wound healing problems and minimal effect on function and quality of life at long-term follow-up. Thus, it makes it the free flap of choice that one cannot avoid. This systematic review was registered at PROSPERO (CRD42021268949).
摘要：
■对颌面重建患者供体部位发病率的文献进行了系统综述。比较了两种广泛使用的皮瓣，即游离腓骨皮瓣（FFF）和DCIA皮瓣，以回答以下问题：（1）使用FFF和DCIA皮瓣进行颌面部重建的患者的供体部位发病率是否存在显着差异？（2）是否应将供体部位发病率视为选择皮瓣进行重建的标准。
■搜索策略基于PRISMA指南。检索了各种电子数据库。在回顾我们系统综述中的七篇文章时，我们发现口腔鳞状细胞癌是导致头颈部缺损的最常见病理，需要用游离皮瓣重建。
■共调查了531名使用FFF和DCIA皮瓣进行颌面部重建的参与者。这项研究包括两种性别。在微血管手术后评估参与者的短期和长期供体部位发病率。平均年龄为45-60岁。七项研究中有三项显示DCIA在供体部位的并发症比腓骨组少。而另外两项研究证明FFF优于DCIA。一项研究证明，两个皮瓣的供体部位发病率较低。
■游离腓骨是头颈部重建中的首选皮瓣，其供体部位发病率与DCIA相当。髂动脉皮瓣的优点包括自然弯曲，丰富的垂直和水平骨高度，用于骨轮廓和骨整合，隐藏的疤痕，在长期随访中，伤口愈合问题的发生率低，对功能和生活质量的影响最小。因此，这使得它的自由瓣的选择，一个无法避免。该系统评价在PROSPERO（CRD42021268949）注册。
■搜索策略基于PRISMA指南。检索了各种电子数据库。在回顾我们系统综述中的七篇文章时，我们发现口腔鳞状细胞癌是导致头颈部缺损的最常见病理，需要用游离皮瓣重建。
■共调查了531名使用FFF和DCIA皮瓣进行颌面部重建的参与者。这项研究包括两种性别。在微血管手术后评估参与者的短期和长期供体部位发病率。平均年龄为45-60岁。七项研究中有三项显示DCIA在供体部位的并发症比腓骨组少。而另外两项研究证明FFF优于DCIA。一项研究证明，两个皮瓣的供体部位发病率较低。
■游离腓骨是头颈部重建中的首选皮瓣，其供体部位发病率与DCIA相当。髂动脉皮瓣的优点包括自然弯曲，丰富的垂直和水平骨高度，用于骨轮廓和骨整合，隐藏的疤痕，在长期随访中，伤口愈合问题的发生率低，对功能和生活质量的影响最小。因此，这使得它的自由瓣的选择，一个无法避免。该系统评价在PROSPERO（CRD42021268949）注册。
