PMID- 32642035
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220415
IS  - 1943-3875 (Print)
IS  - 1943-3883 (Electronic)
IS  - 1943-3875 (Linking)
VI  - 13
IP  - 1
DP  - 2020 Mar
TI  - Assessment of Functional Recovery and Subjective Donor-Site Morbidity Following 
      Radial Forearm Flap Reconstruction in Small- to Moderate-Sized Palatal Defects.
PG  - 71-77
LID - 10.1177/1943387520904879 [doi]
AB  - CONTEXT: Palatal defects are encountered following tumor extirpation, trauma, or 
      congenitally. Among the known alternatives, radial artery free forearm flap 
      (RAFF) is a versatile flap that confers good results in head and neck 
      reconstruction, but donor-site morbidity has been an issue of discontent among 
      the plastic surgeons. This limitation needs to be studied further and addressed 
      considering the unmatched quality of this tissue. AIMS: This study aims to weigh 
      the impact of the functional edge of this flap against the unpopular donor-site 
      morbidity on a group of patients. SETTINGS AND DESIGN: This is a retrospective 
      analysis of recuperation of palatal function and patient concerns with the 
      donor-site function and cosmesis on 7 consecutive patients with small-to-moderate 
      palatal defects reconstructed with RAFF. METHODS AND MATERIALS: Postoperative 
      recovery of speech, palatal movement, and restoration of oromaxillary interface 
      was assessed using objective tests, such as speech intelligibility testing and 
      articulation studies. Simultaneously, subjective donor-site function and cosmesis 
      were assessed using Patient Scar Assessment Scale (PSAS), Upper Extremity 
      Functional Index (UEFI), and donor limb sensory testing. RESULTS AND CONCLUSION: 
      Mean PSAS score was 8.28/60, and UEFI score reported was 77/80, which reflect 
      high patient satisfaction with the donor site. Nasoendoscopy shows remarkable 
      restoration of palate anatomy. Intelligibility testing depicts near-normal speech 
      understandability, whereas articulation studies revealed distortions post-palatal 
      reconstruction with RAFF. Radial artery free forearm flap should be considered as 
      the forerunner of reconstruction in palatal defects involving less than 50%.
CI  - (c) The Author(s) 2020.
FAU - Chandrappa, Ashok B
AU  - Chandrappa AB
AD  - Department of Plastic and Reconstructive surgery, Manipal Hospital, Bangalore, 
      Karnataka, India.
FAU - Batth, Ritu S
AU  - Batth RS
AD  - Department of Plastic and Reconstructive surgery, Manipal Hospital, Bangalore, 
      Karnataka, India.
FAU - Vasudevan, Srikanth
AU  - Vasudevan S
AD  - Department of Plastic and Reconstructive surgery, Manipal Hospital, Bangalore, 
      Karnataka, India.
FAU - Yellambalase, Anantheswar N R
AU  - Yellambalase ANR
AD  - Department of Plastic and Reconstructive surgery, Manipal Hospital, Bangalore, 
      Karnataka, India.
FAU - Kumar, Pradeep N
AU  - Kumar PN
AD  - Department of Plastic and Reconstructive surgery, Manipal Hospital, Bangalore, 
      Karnataka, India.
FAU - Reddy, Sudarshan
AU  - Reddy S
AD  - Department of Plastic and Reconstructive surgery, Manipal Hospital, Bangalore, 
      Karnataka, India.
FAU - Seles, J Nidya
AU  - Seles JN
AD  - Department of Speech and Language Pathology, Manipal Hospital, Bangalore, 
      Karnataka, India.
LA  - eng
PT  - Journal Article
DEP - 20200316
PL  - United States
TA  - Craniomaxillofac Trauma Reconstr
JT  - Craniomaxillofacial trauma & reconstruction
JID - 101541666
PMC - PMC7311849
OTO - NOTNLM
OT  - donor-site morbidity
OT  - functional outcomes
OT  - palate
OT  - radial artery free flap
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2020/07/10 06:00
MHDA- 2020/07/10 06:01
PMCR- 2021/03/01
CRDT- 2020/07/10 06:00
PHST- 2020/07/10 06:00 [entrez]
PHST- 2020/07/10 06:00 [pubmed]
PHST- 2020/07/10 06:01 [medline]
PHST- 2021/03/01 00:00 [pmc-release]
AID - 10.1177_1943387520904879 [pii]
AID - 10.1177/1943387520904879 [doi]
PST - ppublish
SO  - Craniomaxillofac Trauma Reconstr. 2020 Mar;13(1):71-77. doi: 
      10.1177/1943387520904879. Epub 2020 Mar 16.