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Long-term donor site morbidity in head and neck cancer patients and its impact on quality of life: A cross-sectional study

International Journal of Oral & Maxillofacial Surgery Feb 06, 2019

Kansy K, et al. - In this cross-sectional study, authors analyzed 117 donor sites to study comparatively for the five most frequent microvascular donor sites (ie, radial forearm, anterolateral thigh, fibula, iliac crest, and scapula) in head and neck reconstructive surgery with a uniform testing system. They assessed the quality of life using the Washington Quality of Life Questionnaire version 4 in its German translation. Restricted range of motion was observed in 15 cases. They also noticed a decline in muscle strength in 49.6% of cases, and reduced sensation was seen in 60% of cases. The highest incidence of overall donor site morbidity was observed in scapula flap, although, a weak correlation between objective and subjective donor site impairment was reported. A majority of patients encountered insignificant limitations.

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