PURPOSE: To investigate morbidity related to harversting of bilateral fibula free flap for head and neck reconstruction using subjective and functional tests. METHODS: Patients were retrospectively evaluated using point evaluation system (PES) and balance evaluation systems test (BESTest) questionnaires to assess morbidity related to surgery. RESULTS: Five patients were enrolled in the study. Mean PES scores was 22.2 over 24. Mean overall function assessed with BESTest was 77.6%, and the results were poorest for section I. Sections V and VI had scores of 88% and 83%, respectively, indicating that the sensory balance and gait stability of the patients were compromised only minimally. CONCLUSION: Bilateral harvesting of the fibula free flap is not associated with an increase in long-term morbidity and does not lead to significant functional impairments. Therefore, this procedure should be considered safe, and can be performed without concern regarding morbidity, when bone reconstruction with a fibula free flap is indicated.

Bilateral Harvesting of a Fibula Free Flap: Assessment of Morbidity / Ferrari, Silvano; Perlangeli, Giuseppe; Mammi, Patrizia; Varazzani, Andrea; Bianchi, Bernardo; Fusetti, Stefano; Brevi, Bruno Carlo; Ferri, Andrea. - In: THE JOURNAL OF CRANIOFACIAL SURGERY. - ISSN 1536-3732. - 29:8(2018), pp. 2131-2134. [10.1097/SCS.0000000000004674]

Bilateral Harvesting of a Fibula Free Flap: Assessment of Morbidity

Ferrari, Silvano;Perlangeli, Giuseppe;Varazzani, Andrea;Bianchi, Bernardo;Ferri, Andrea
2018

Abstract

PURPOSE: To investigate morbidity related to harversting of bilateral fibula free flap for head and neck reconstruction using subjective and functional tests. METHODS: Patients were retrospectively evaluated using point evaluation system (PES) and balance evaluation systems test (BESTest) questionnaires to assess morbidity related to surgery. RESULTS: Five patients were enrolled in the study. Mean PES scores was 22.2 over 24. Mean overall function assessed with BESTest was 77.6%, and the results were poorest for section I. Sections V and VI had scores of 88% and 83%, respectively, indicating that the sensory balance and gait stability of the patients were compromised only minimally. CONCLUSION: Bilateral harvesting of the fibula free flap is not associated with an increase in long-term morbidity and does not lead to significant functional impairments. Therefore, this procedure should be considered safe, and can be performed without concern regarding morbidity, when bone reconstruction with a fibula free flap is indicated.
Bilateral Harvesting of a Fibula Free Flap: Assessment of Morbidity / Ferrari, Silvano; Perlangeli, Giuseppe; Mammi, Patrizia; Varazzani, Andrea; Bianchi, Bernardo; Fusetti, Stefano; Brevi, Bruno Carlo; Ferri, Andrea. - In: THE JOURNAL OF CRANIOFACIAL SURGERY. - ISSN 1536-3732. - 29:8(2018), pp. 2131-2134. [10.1097/SCS.0000000000004674]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2853946
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 3
social impact