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Gracilis myocutaneous flap: evaluation of potential risk factors and long-term donor-site morbidity

Papadopoulos, Othon, Konofaos, Petros, Georgiou, Panos, Chrisostomidis, Chrisostomos, Tsantoulas, Zacharias, Karypidis, Dimitrios and Kostakis, Alkiviadis 2011. Gracilis myocutaneous flap: evaluation of potential risk factors and long-term donor-site morbidity. Microsurgery 31 (6) , pp. 448-453. 10.1002/micr.20899

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Abstract

This study reviewed our experience with the gracilis myocutaneous (GMC) flap, potential risk factors for flap necrosis, and long‐term morbidity at the donor‐site. From 1993 to 2002, 29 GMC flaps were harvested from 27 patients (pedicled n = 21 and free n = 8). The overall incidence of flap necrosis was 13.79% (partial (n = 2) and total (n = 2) necrosis). Flap necrosis was correlated with body mass index >25 (P = 0.022), with smoking (P = 0.04 9) and with radiation therapy at the recipient site (P = 0.020). The long‐term morbidity at the donor‐site was low, except for scar appearance (17.24%), thigh contour deformity (58.62%), and hypoesthesia (17.24%). Significant age and gender differences were seen for ranking of scar ugliness, with females (P = 0.0061) and younger patients (age ≤55) (P = 0.046) assigned higher values. Significant age differences were seen for ranking of thigh contour deformity, with younger patients assigned higher values (P = 0.0012). In conclusion, patient overweight, smoking, and previous radiation therapy at the recipient site may be the “potential risk factors” for flap necrosis. The long‐term morbidity at the donor‐site was low, which was in agreement with previous reported studies. A larger series would be the subject of a future study.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Wiley
ISSN: 0738-1085
Last Modified: 03 Jul 2018 13:31
URI: http://orca-mwe.cf.ac.uk/id/eprint/111092

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