Titre
Shear Wave Elastography of the Skin following Radial Forearm Free Flap Surgery in Transgender Patients: Observational Study.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Guiotto, M.
Auteure/Auteur
Sciboz, O.C.
Auteure/Auteur
Arquero, C.
Auteure/Auteur
Schiraldi, L.
Auteure/Auteur
Di Summa, P.
Auteure/Auteur
Bauquis, O.
Auteure/Auteur
Durand, S.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2077-0383
Statut éditorial
Publié
Date de publication
2024-08-20
Volume
13
Numéro
16
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
Background: Ultrasound shear wave elastography (SWE) noninvasively measures the stiffness of tissue by producing and measuring tissue deformation. Scar formation, a crucial aspect of wound healing, can lead to functional and aesthetic complications when pathological. While SWE has shown promise in dermatological evaluations, its role in surgical scar assessment remains underestimated. Our study aims to investigate SWE in evaluating surgical scars at the donor site after forearm free flap surgery in transgender patients. Methods: After radial forearm free flap harvesting, the donor site was grafted with a split-thickness skin graft with or without interposition of Matriderm. Eleven patients were evaluated more than one year after surgery, using SWE alongside scar characteristics, sensory outcomes, and patient satisfaction surveys. Results: Our study revealed no significant difference in stiffness (p > 0.15), pigmentation (p = 0.32), or erythema (p = 0.06) between operated and non-operated sides. The interposition of Matriderm did not influence the stiffness. Patients significantly (p < 0.0001) reported a loss of discrimination. Patients' subjective scar evaluation appeared in line with our quantitative and objective results. Conclusions: This study contributes to the evolving understanding of SWE's role in scar assessment, highlighting its feasibility in evaluating surgical scars. However, continued research efforts are necessary to establish SWE as a reliable and objective method for surgical scar evaluation and management.
PID Serval
serval:BIB_BD43B6EBB39E
PMID
Open Access
Oui
Date de création
2024-09-09T13:40:15.027Z
Date de création dans IRIS
2025-05-20T22:16:35Z
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Nom
39201045_BIB_BD43B6EBB39E.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
1.83 MB
Format
Adobe PDF
PID Serval
serval:BIB_BD43B6EBB39E.P001
URN
urn:nbn:ch:serval-BIB_BD43B6EBB39E8
Somme de contrôle
(MD5):23afd6756cebeb2ba1d94308905ce8d6