Donor site morbidity after scapula free flap surgery of head and neck reconstruction: A systematic review and meta-analysis.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-12-01 Epub Date: 2024-07-24 DOI:10.1002/hed.27876

Sophie McGregor, Katrina Zaraska, Matthew Lynn, Sena Turkdogan, Khanh Linh Tran, Eitan Prisman

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Abstract

Background: The scapula free flap is becoming increasingly more utilized in head and neck reconstruction due to its natural geometry and soft tissue versatility. This study reviews the incidence rate, risk factors, and treatments of complications of scapula donor site morbidity.

Methods: A review was performed for articles published between October 1990 and November 2022 in Medline (OVID), PubMed, Web of Science, and CENTRAL. After screening, 24 articles meeting the criteria were included.

Results: Overall, 660 head and neck surgeries with the scapula donor bone across 24 studies were included. Twenty studies of 612 scapula free flaps reported a pooled postoperative complication rate of 10.7%, with no major complications. Seven studies of 199 scapula reconstructions showed a mean Disability of Arm, Shoulder and Hand (DASH) score of 14.39/100.

Conclusion: With its low rate of morbidity, the scapula flap presents itself as a good alternative for patients at risk for poor healing.

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头颈部重建的肩胛游离皮瓣手术后供体部位的发病率：系统回顾和荟萃分析。

背景：肩胛游离皮瓣因其自然的几何形状和软组织的多功能性，越来越多地被用于头颈部重建。本研究回顾了肩胛骨供体部位并发症的发生率、风险因素和治疗方法：对1990年10月至2022年11月期间发表在Medline (OVID)、PubMed、Web of Science和CENTRAL上的文章进行了回顾。经过筛选，24 篇符合标准的文章被纳入其中：24项研究共纳入了660例使用肩胛骨供骨的头颈部手术。20项研究共收集了612块肩胛游离瓣，术后并发症发生率为10.7%，无重大并发症。对199例肩胛骨重建进行的7项研究显示，手臂、肩部和手部残疾（DASH）的平均评分为14.39/100：肩胛骨瓣的发病率较低，对于有愈合不良风险的患者来说是一种不错的选择。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.