Evidence map›Paper›PMID 31729578›Full record

ArticleClinical oral investigations2020

Use of amniotic membrane for radial forearm free flap donor site coverage: clinical, functional and cosmetic outcomes.

Stefan Hunger, Lukas Postl, Raphael Stehrer, Lukas Hingsammer, Stefan Krennmair, Wolfgang Feistl, Michael Malek, Gerald Krennmair

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Article in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stefan HungerMedical Faculty, Department of Oral and Maxillofacial Surgery, Johannes Kepler University Linz, Krankenausstraße 9, 4020, Linz, Austria. Stefan.hunger@kepleruniklinikum.at.ORCID http://orcid.org/0000-0002-1998-5618
Lukas PostlMedical Faculty, Department of Oral and Maxillofacial Surgery, Johannes Kepler University Linz, Krankenausstraße 9, 4020, Linz, Austria.
Raphael StehrerMedical Faculty, Department of Oral and Maxillofacial Surgery, Johannes Kepler University Linz, Krankenausstraße 9, 4020, Linz, Austria.
Lukas HingsammerMedical Faculty, Department of Oral and Maxillofacial Surgery, Johannes Kepler University Linz, Krankenausstraße 9, 4020, Linz, Austria.
Stefan KrennmairLudwig-Maximilian University (LMU), Munich, Germany.
Wolfgang FeistlMedical Faculty, Department of Oral and Maxillofacial Surgery, Johannes Kepler University Linz, Krankenausstraße 9, 4020, Linz, Austria.
Michael MalekMedical Faculty, Department of Oral and Maxillofacial Surgery, Johannes Kepler University Linz, Krankenausstraße 9, 4020, Linz, Austria.
Gerald KrennmairSigmund Freud University Vienna, Head of Department of Prosthodontics, Sigmundfreudplatz 1, 1020, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical, functional and aesthetic outcomes for radial forearm free flap (RFFF) donor sites covered with amniotic membrane (AM). MATERIAL AND

methodsThe healing process of patients with RFFF donor sites covered with AM was prospectively followed for 1 year. Additionally at the 12-month evaluation, objective scoring systems were used to assess the aesthetic (Vancouver scar scale, VSS: range 1-13) and functional outcome (skin sensibility, hand/wrist functionality [goniometer], grip strength [score 1 = excellent, 5 = poor]). By using a subjective rating system (score 1 = excellent, 5 = poor), the patient-reported aesthetic and functionality outcome was correlated with objective data analysis.

resultsTwenty-one out of 23 patients were followed for 12 months (dropout: 2 patients at 3 months). In 17/23 (73.9%) patients RFFF defect covered with AM showed an uneventful healing period (< 3 months). Prolonged healing periods (> 3 months < 6) for 6 patients (26.1%) were attributed to wound infections (4×), seroma (1×) and inflammation (1×). At the 1-year evaluation, there was a significant (p < 0.01) correlation between subjective (2.0 ± 0.71) and objective aesthetic scores (VVS 3.74 ± 2.18), and a successful grip strength (score 1.67 ± 0.86); however, thumb hyposensibility in 76.2% was seen. A high body mass index (BMI) was in conjunction with a negative (p = 0.012) and the use of antihypertensive medications provided positive effects (p = 0.041) on the aesthetic outcome.

conclusionRFFF donor site defects covered using AM show excellent clinical, aesthetic and functional outcome representing patient comorbidities (BMI, antihypertensive drugs) might affect the aesthetic outcome. CLINICAL RELEVANCE: In relation to the excellent outcomes found, the use of AM offers an alternative treatment procedure for RFFF defect covering.

Indexed as

AmnionEsthetics, DentalFree Tissue FlapsPlastic Surgery ProceduresForearmHumansProspective StudiesAesthetic outcomeAmniotic membraneFunctional outcomeRadial forearm free flap

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.