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Scientific paper - Original scientific paper
Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study
Journal of Clinical Medicine, 11 (2022), 9; 2397. https://doi.org/10.3390/jcm11092397
Janik, Stefan; Pyka, Julian; Faisal, Muhammad; Grasl, Stefan; Golusinski, Pawel; Marijić, Blažen; Seemann, Rudolf; Erovic, Boban M.

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Janik, S., Pyka, J., Faisal, M., Grasl, S., Golusinski, P., Marijić, B. ... Erovic, B. M. (2022). Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study. Journal of Clinical Medicine, 11. (9). doi: 10.3390/jcm11092397

Janik, Stefan, et al. "Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study." Journal of Clinical Medicine, vol. 11, no. 9, 2022. https://doi.org/10.3390/jcm11092397

Janik, Stefan, Julian Pyka, Muhammad Faisal, Stefan Grasl, Pawel Golusinski, Blažen Marijić, Rudolf Seemann and Boban M. Erovic. "Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study." Journal of Clinical Medicine 11, no. 9 (2022). https://doi.org/10.3390/jcm11092397

Janik, S., et al. (2022) 'Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study', Journal of Clinical Medicine, 11(9). doi: 10.3390/jcm11092397

Janik S, Pyka J, Faisal M, Grasl S, Golusinski P, Marijić B, and sur.. Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study. Journal of Clinical Medicine [Internet]. 2022 April 25 [cited 2024 October 05];11(9). doi: 10.3390/jcm11092397

S. Janik, et al., "Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study", Journal of Clinical Medicine, vol. 11, no. 9, April 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:525935. [Accessed: 05 October 2024]

Metadata
Title (english)Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study
AuthorStefan Janik
AuthorJulian Pyka
AuthorMuhammad Faisal
AuthorStefan Grasl
AuthorPawel Golusinski
AuthorBlažen Marijić
AuthorRudolf Seemann
AuthorBoban M. Erovic
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Otorhinolaryngology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Otorhinolaryngology
Abstract (english)
Objective: To evaluate donor site morbidity of the serratus anterior free flap (SAFF) in head and neck reconstruction. Methods: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire (0 no disability to 100 most severe disability) was applied to 20 patients (M: 16; F: 4) who underwent ablative surgery and reconstruction of the head and neck using a SAFF. Applications, as well as the donor site, recipient site and flap-related complications, were evaluated. Results: SAFF was mainly used for tongue (n = 11; 55.0%) and pharyngeal reconstruction after a laryngopharyngectomy (n = 4; 20.0%). The majority of patients presented with stage IV disease (n = 12; 60%) and had undergone previous radiotherapy (n = 14; 70%). Our free flap survival rate was 88.9% and the pectoralis major muscle flap (PMMF) was used in 5 patients as a salvage option to reconstruct pharyngeal defects. The mean/median DASH score was 21.6/19.9 (healthy norm 10.1), indicating only mild to moderate disability. However, free flap failure and the additional harvest of PMMF multiplies donor site morbidity since it was associated with a 3- and 2.6-times higher DASH score (46.0 vs. 15.5; p = 0.039 and 39.9 vs. 15.47; p = 0.081). Conclusions: The SAFF represents a versatile flap for head and neck reconstruction with low donor site morbidity.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleJournal of Clinical Medicine
Numberingvol. 11, no. 9, 2397
e-ISSN2077-0383
DOIhttps://doi.org/10.3390/jcm11092397
URN:NBNurn:nbn:hr:184:525935
Publication2022-04-25
Document URLhttps://www.mdpi.com/2077-0383/11/9/2397
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-09-06 13:17:54