Page 675 - Read Online

Cylinder et al. Plast Aesthet Res 2020;7:58 I http://dx.doi.org/10.20517/2347-9264.2020.85 Page 9 of 18

Table 2. Extracted data for RFFFP partial flap loss used for shaft reconstruction
Radial forearm free flap phalloplasty
Flap design # patients Total flap loss (%) Partial flap loss (%) Necrosis location Management
TWT 672 16/672 (2.4%) 31/672 (4.6%) - -
Matti et al. [25] , 1988 5 2/5 (40%) 1/5 (20%) NR NR
Fang et al. [19] , 1994 28 1/28 (3.6%) 6/28 (21.4%) Distal ulnar portion NR
Leriche et al. [24] , 56 3/56 (5.4%) 2/56 (3.6%) Distal tip necrosis NR
2008
Kim et al. [22] , 2009 40 1/40 (2.5%) 3/40 (7.5%) NR NR
[15]
Baumeister et al. , 135 2/135 (1.5%) 12/135 (8.9%) Shaft Repeat RFFFP
2011
Wirthmann et al. [29] , 232 7/232 (3.0%) 2/232 (0.9%) NR NR
2018
Ascha et al. [14] , 2018 149 NR 5/149 (3.4%) NR NR
[17]
De Wolf et al. , 27 0/27 (0%) 0/27 (0%) N/A N/A
2019
Prefab urethra 108 4/108 (3.7%) 4/108 (3.7%) - -
Fang et al. [19] , 1994 28 0/28 (0%) 0/28 (0%) N/A N/A
Fang et al. [18] , 1999 22 0/22 (0%) 1/22 (4.5%) Tip NR
Song et al. [27] , 2011 19 2/19 (10.5%) 3/19 (15.8%) Tip necrosis (2); Distal flap Healing by secondary
loss (1) intention (2)
Debridement and VAC
therapy + skin grafting (1)
Küntscher et al. [23] , 39 2/39 (5.1%) 0/39 (0%) N/A NR
2019
Total 780 20/780 (2.6%) 35/789 (4.5%) - -
RFFFP: radial forearm free flap phalloplasty; TWT: tube within a tube design; NR: Not reported; N/A: not applicable; VAC: vacuum-
assisted closure of wound

Table 3. Extracted data for ALT partial flap loss used for shaft reconstruction

Anterolateral thigh flap phalloplasty
Flap design # patients Pedicled vs. free Total flap loss (%) Partial flap loss (%) Necrosis location Management
TWT 69 0/69 (0%) 5/69 (7.2%) - -
Ascha et al. [14] , 2018 64 Pedicled NR 5/64 (7.8%) NR NR
D’Arpa et al. [16] , 2019 5 Pedicled* 0/5 (0%) 0/5 (0%) N/A NA
Prefab urethra 8 0/8 (0%) 0/8 (0%) - -
D’Arpa et al. [16] , 2019 8 Pedicled* 0/8 (0%) 0/8 (0%) N/A N/A
Composite 98 10/98 (10.2%) 7/98 (7.1%) - -
Felici et al. [20] , 2006 6 Free 0/6 (0%) 0/6 (0%) N/A N/A
van der Sluis et al. [28] , 19 Pedicled 1/19 complete ALT 1/19 (5.2%) NR Partial necrosis
2017 loss (5.2%) of the ALT flap
2/19 complete RFFF occurred
neourethral losses in one patient, which
(10.5%) was salvaged with
split-thickness skin
grafting of an area of
2 cm × 1 cm
D’Arpa et al. [16] , 2019 73 Pedicled* 7/73 (9.6%) 6/73 (13.2%) NR Debridement, skin
[3/29 ALT + RFFF [0/29 ALT + RFFF grafting
(10.3%); 4/38 ALT (0%); 5/38 ALT +
+ SCIP (10.5%); SCIP (13.2%); 1/6
0/6 ALT + previous ALT + previous flap
flap (0%)] (16.7%)]
Shaft-only 7 0/7 (0%) 1/7 (14.3%) - -
D’Arpa et al. [16] , 2019 7 Pedicled* 0/7 (0%) 1/7 (14.3%) NR NR
TOTAL 182 10/182 (5.5%) 13/182 (7.1%) - -
TWT: tube within a tube design; NR: not reported; N/A: not applicable; ALT: anterolateral thigh flap; RFFF: radial free flap; SCIP: superficial
circumflex iliac perforator