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European Archives of Oto-Rhino-Laryngology

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01-08-2019 | Head & Neck

Quality of life in patients after reconstruction with the supraclavicular artery island flap (SCAIF) versus the radial free forearm flap (RFFF)

Authors: Jennifer L. Spiegel, Yiannis Pilavakis, Bernhard G. Weiss, Martin Canis, Christian Welz

Published in: European Archives of Oto-Rhino-Laryngology | Issue 8/2019

Abstract

Purpose

Gold-standard for defect reconstruction in the head and neck region is the radial free forearm flap (RFFF). The supraclavicular artery island flap (SCAIF) gained popularity due to its versatility. Our objective was to compare functional advantages between both modalities.

Methods

A retrospective analysis of 24 consecutive cases with advanced-stage squamous cell cancer of the oral cavity and oropharynx after cancer defect reconstruction with two modalities (12 SCAIF; 12 RFFF) was conducted. Patients completed the European Organization for Research and Treatment of Cancer

(EORTC) questionnaires, Quality of Life Questionnaire-Core 30-questions (QLQ-C30) and Quality of Life Questionnaire-Core 30 Head and Neck 35-questions (QLQ-H&N35).

Results

Mean follow-up was 22.2 ± 9.5 months. Comparison of quality of life (QOL) showed significant differences only in speech and problems with the senses in favor of the SCAIF.

Conclusion

Patients report satisfactory QOL results after oncologic surgery and reconstruction with preliminary no significant differences in most aspects comparing the two modalities. Therefore, the SCAIF appears as a viable alternative to the gold standard, the RFFF.

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Title: Quality of life in patients after reconstruction with the supraclavicular artery island flap (SCAIF) versus the radial free forearm flap (RFFF)
Authors: Jennifer L. Spiegel
Yiannis Pilavakis
Bernhard G. Weiss
Martin Canis
Christian Welz
Publication date: 01-08-2019
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 8/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05478-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Quality of life in patients after reconstruction with the supraclavicular artery island flap (SCAIF) versus the radial free forearm flap (RFFF)

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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