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Analysis of the Radial Forearm Phalloplasty Donor Site: Do Dermal Matrices Improve Donor Site Morbidity?
Marquez, Jessica L; Nuckles, Brandon; Tausinga, Telisha; Foley, Brittany; Sudbury, Dallin; Sueoka, Stephanie; Zang, Chong; Lewis, Priya; Goodwin, Isak.
Afiliación
  • Marquez JL; From the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
  • Nuckles B; From the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
  • Tausinga T; From the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
  • Foley B; From the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
  • Sudbury D; Department of Orthopedics, The University of Utah Hospital, Salt Lake City, Utah.
  • Sueoka S; Department of Orthopedics, The University of Utah Hospital, Salt Lake City, Utah.
  • Zang C; Division of Epidemiology, Department of Internal Medicine, The University of Utah Hospital, Salt Lake City, Utah.
  • Lewis P; From the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
  • Goodwin I; From the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
Plast Reconstr Surg Glob Open ; 12(9): e6114, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39228422
ABSTRACT

Background:

The radial forearm free flap is frequently chosen for phalloplasty; however, flap size required for phalloplasty is associated with a large scar burden and functional concerns. We sought to investigate donor site functionality, aesthetics, and volume deficits in a cohort of individuals who underwent radial forearm phalloplasty (RFP) with donor site skin grafting alone or dermal substitute and subsequent skin grafting.

Methods:

Donor site functionality was assessed using the quick Disabilities of Arm, Shoulder, and Hand (qDASH). Patient- and clinician-reported aesthetics were assessed using the Patient and Observer Scar Assessment Scale (POSAS). An Artec Leo three-dimensional scanner was used to measure volumetric differences from the donor site forearm and contralateral forearm.

Results:

Fifteen patients who underwent RFP agreed to participate. No statistically significant differences were identified between different donor site closure methods regarding qDASH, patient-reported POSAS, or total volumetric deficits. A blinded clinician reported that POSAS approached significance at 4.7 for biodegradable temporizing matrix (BTM), 4.2 for Integra, and 3.0 for split-thickness skin graft (P = 0.05). No statistically significant differences were identified regarding distal, middle, or proximal volume deficits; however, a trend was observed regarding total volumetric deficits with BTM experiencing the lowest deficit (10.3 cm3) and skin graft experiencing the highest deficit (21.5 cm3, P = 0.82).

Conclusions:

The addition of dermal matrix (BTM or Integra) to the treatment algorithm for RFP did not show statistically significant improvement in donor site volume deficits, patient-reported scar appearance (POSAS), or functionality (qDASH).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Plast Reconstr Surg Glob Open Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Plast Reconstr Surg Glob Open Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos