Evidence map›Paper›PMID 39228422›Full record

ArticlePlastic and reconstructive surgery. Global open2024

Analysis of the Radial Forearm Phalloplasty Donor Site: Do Dermal Matrices Improve Donor Site Morbidity?

Jessica L Marquez, Brandon Nuckles, Telisha Tausinga, Brittany Foley, Dallin Sudbury, Stephanie Sueoka, Chong Zang, Priya Lewis, Isak Goodwin

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. MANAGEMENT OF GENDER-AFFIRMING PATIENTS - A PLASTIC SURGERY PERSPECTIVE.Acta endocrinologica (Bucharest, Romania : 2005)
    Review
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

9 authors.

Jessica L MarquezFrom the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
Brandon NucklesFrom the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
Telisha TausingaFrom the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
Brittany FoleyFrom the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
Dallin SudburyDepartment of Orthopedics, The University of Utah Hospital, Salt Lake City, Utah.
Stephanie SueokaDepartment of Orthopedics, The University of Utah Hospital, Salt Lake City, Utah.
Chong ZangDivision of Epidemiology, Department of Internal Medicine, The University of Utah Hospital, Salt Lake City, Utah.
Priya LewisFrom the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.
Isak GoodwinFrom the Division of Plastic Surgery, Department of Surgery, The University of Utah Hospital, Salt Lake City, Utah.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The radial forearm free flap is frequently chosen for phalloplasty; however, flap size required for phalloplasty is associated with a large scar burden and functional concerns. We sought to investigate donor site functionality, aesthetics, and volume deficits in a cohort of individuals who underwent radial forearm phalloplasty (RFP) with donor site skin grafting alone or dermal substitute and subsequent skin grafting. Methods: Donor site functionality was assessed using the quick Disabilities of Arm, Shoulder, and Hand (qDASH). Patient- and clinician-reported aesthetics were assessed using the Patient and Observer Scar Assessment Scale (POSAS). An Artec Leo three-dimensional scanner was used to measure volumetric differences from the donor site forearm and contralateral forearm. Results: Fifteen patients who underwent RFP agreed to participate. No statistically significant differences were identified between different donor site closure methods regarding qDASH, patient-reported POSAS, or total volumetric deficits. A blinded clinician reported that POSAS approached significance at 4.7 for biodegradable temporizing matrix (BTM), 4.2 for Integra, and 3.0 for split-thickness skin graft ( Conclusions: The addition of dermal matrix (BTM or Integra) to the treatment algorithm for RFP did not show statistically significant improvement in donor site volume deficits, patient-reported scar appearance (POSAS), or functionality (qDASH).

Identifiers

PMID39228422
PMCPMC11368217

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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.