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Comparison of donor site complications of supra- versus subfascially harvested anterolateral thigh perforator free flaps: A meta-analysis.

Authors
  • Su, Xing-Zhou1
  • Yin, Shou-Cheng2
  • So, Hyon Il3
  • Wang, Shuai4
  • Zhang, Ze-Liang5
  • Xu, Zhong-Fei6
  • Sun, Chang-Fu7
  • 1 Department of Oral Maxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, PR China. Electronic address: [email protected] , (China)
  • 2 Department of Oral Maxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, PR China. Electronic address: [email protected] , (China)
  • 3 Department of Oral Maxillofacial Surgery, Pyongyang Medical College, Kim Il Sung University, Pyongyang DPRK, Democratic People's Republic of Korea. Electronic address: [email protected] , (China)
  • 4 Department of Oral Maxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, PR China. Electronic address: [email protected] , (China)
  • 5 Department of Oral Maxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, PR China. Electronic address: [email protected] , (China)
  • 6 Department of Oral Maxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, PR China. Electronic address: [email protected] , (China)
  • 7 Department of Oral Maxillofacial-Head and Neck Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, PR China. Electronic address: [email protected] , (China)
Type
Published Article
Journal
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
Publication Date
Jan 01, 2020
Volume
48
Issue
1
Pages
56–66
Identifiers
DOI: 10.1016/j.jcms.2019.11.023
PMID: 31911012
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study aimed to compare the complications at the donor site of supra- versus subfascially harvested anterolateral thigh perforator free flaps. We searched PubMed, Web of Science, EMBASE, the Chinese BioMedical Literature Database (CBM) and the Cochrane Library until December 31, 2018, to identify studies that compared complications at the donor site of the supra- versus subfascially raised anterolateral thigh perforator free flaps. Two authors individually extracted the data and performed the quality assessments. Skin grafting, the rate of poor healing in the donor site, dysfunction at the donor site and sensory functions at the donor site were evaluated. Seven studies with a total of 525 patients were included in our analysis. No significant differences were found regarding skin grafting and sensory functions between the 2 groups. However, in regard to the rate of poor healing and dysfunction at the donor site, the SPF group showed significantly better outcomes than the SBF group after the operation. Our meta-analysis suggested that, in regards to skin grafting and sensory recovery, the SPF and SBF groups were similar. With regard to donor site healing and functional recovery, the SPF group exhibited better outcomes than the SBF group. Copyright © 2019 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

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