{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T04:08:02Z","timestamp":1744690082978,"version":"3.40.4"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Zur Rekonstruktion vollschichtiger Weichteildefekte an der distalen unteren\n                        Extremit\u00e4t werden abh\u00e4ngig von der Defektgr\u00f6\u00dfe und des Risikoprofils des\n                        Patienten eine gestielte Suralis-Lappenplastik oder eine freie\n                        ALT-Lappenplastik angewandt. Zur vergleichenden Analyse der Haut- und\n                        Narbenqualit\u00e4t der beiden Rekonstruktionsm\u00f6glichkeiten erfolgte die\n                        Untersuchung der subjektiven Patientenwahrnehmung und -zufriedenheit als\n                        auch der objektiven Hauteigenschaften mittels Patient and Observer Scar\n                        Assessment Scale (POSAS), Cuto-, Mexa-, und Tewameter.<\/jats:p><jats:p>Es erfolgte eine retrospektive Untersuchung der Behandlungsdaten von 40\n                        Patienten, bei denen zwischen 2013 und 2018 eine gestielte\n                        Suralis-Lappenplastik oder eine freie ALT-Lappenplastik durchgef\u00fchrt wurde.\n                        Anschlie\u00dfend wurde die subjektive Bewertung der Hautqualit\u00e4t prospektiv\n                        anhand des POSAS sowie einer visuellen Analogskala zur Bestimmung der\n                        Patientenzufriedenheit erhoben. Ebenfalls erfolgte die Analyse der\n                        Hautqualit\u00e4t durch Cuto-, Mexa- und Tewameter im Bereich der Lappenplastik,\n                        der Umgebung der Lappenplastik, der gesunden Gegenseite der Lappenplastik,\n                        der Donorstelle und der entsprechenden Gegenseite der Donorstelle.<\/jats:p><jats:p>Im Rahmen der Untersuchung der subjektiv wahrgenommenen Haut- und\n                        Narbenqualit\u00e4t zeigte sich eine signifikant h\u00f6here Zufriedenheit der\n                        Patienten mit ALT-Lappenplastik als der Patienten mit Suralis-Lappenplastik.\n                        Die POSAS Auswertung stellte eine bessere Hautqualit\u00e4t der ALT-Donorstelle\n                        im Vergleich zu der Suralis-Donorstelle dar. Die durch das Mexameter\n                        erhobenen Melanin- und Erythemwerte ergaben eine positive Korrelation zu den\n                        Daten des POSAS. Die objektiven Messungen zeigten in einem\n                        intraindividuellen Hautvergleich, dass beide Lappenplastiken eine geringere\n                        und beide Donorstellen eine erh\u00f6hte Elastizit\u00e4t im Vergleich zur jeweiligen\n                        gesunden Gegenseite aufweisen. Zudem konnte an den Lappenplastiken und\n                        Donorstellen ein erh\u00f6hter Erythemwert im Vergleich zur gesunden Gegenseite\n                        festgestellt werden.<\/jats:p><jats:p>Anhand der instrumentellen Messverfahren konnten objektive Unterschiede der\n                        Hauteigenschaften der untersuchten Hautareale ermittelt werden. In der\n                        Korrelationsanalyse zwischen der subjektiven Wahrnehmung und den objektiven\n                        Messdaten zeigte sich, dass optisch besser wahrnehmbare Eigenschaften wie\n                        der Melanin-Gehalt und das Erythem st\u00e4rker als mechanische Eigenschaften mit\n                        der subjektiven Wahrnehmung korrelierten. Patienten mit einer\n                        ALT-Lappenplastik wiesen insgesamt eine gr\u00f6\u00dfere Zufriedenheit auf, als\n                        Patienten mit einer Suralis-Lappenplastik, was auf eine geringere Morbidit\u00e4t\n                        der Donorstelle zur\u00fcckzuf\u00fchren ist.<\/jats:p>","DOI":"10.1055\/a-2545-0399","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:26:05Z","timestamp":1742955965000},"page":"122-129","source":"Crossref","is-referenced-by-count":0,"title":["Die Objektivierbarkeit der Hautqualit\u00e4t von Lappenplastiken anhand\n                    des Cuto-, Mexa- und Tewameters: Ein Vergleich von Suralis- und\n                    ALT-Lappenplastik"],"prefix":"10.1055","volume":"57","author":[{"given":"Yonca","family":"Steubing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie,\n                    Schwerbrandverletztenzentrum, Sarkomzentrum, Berufsgenossenschaftliches\n                    Universit\u00e4tsklinikum Bergmannsheil, Bochum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxi","family":"von Glinski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie,\n                    Schwerbrandverletztenzentrum, Sarkomzentrum, Berufsgenossenschaftliches\n                    Universit\u00e4tsklinikum Bergmannsheil, Bochum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Lehnhardt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie,\n                    Schwerbrandverletztenzentrum, Sarkomzentrum, Berufsgenossenschaftliches\n                    Universit\u00e4tsklinikum Bergmannsheil, Bochum"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Seelmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand- & Plastische Chirurgie, Brandverletzungen,\n                    Berufsgenossenschaftliches Klinikum, Duisburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinz Herbert","family":"Homann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand- & Plastische Chirurgie, Brandverletzungen,\n                    Berufsgenossenschaftliches Klinikum, Duisburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Beierlorzer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand- & Plastische Chirurgie, Brandverletzungen,\n                    Berufsgenossenschaftliches Klinikum, Duisburg"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s00113-013-2528-5","article-title":"Lappenplastiken zur Defektdeckung am distalen Unterschenkel","volume":"117","author":"A J Suda","year":"2014","journal-title":"Unfallchirurg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1097\/01.ta.0000250599.84033.1f","article-title":"The Anterolateral Thigh Flap is Highly Effective for Reconstruction of Complex\n                    Lower Extremity Trauma","volume":"62","author":"J E Park","year":"2007","journal-title":"The Journal of Trauma: Injury, Infection, and Critical\n                    Care"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"S213","DOI":"10.1097\/SAP.0000000000000779","article-title":"Comparing Muscle and Fasciocutaneous Free Flaps in Lower Extremity\n                    Reconstruction \u2014 Does It Matter?","volume":"76","author":"J Paro","year":"2016","journal-title":"Ann Plast Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2219","DOI":"10.1097\/00006534-200206000-00007","article-title":"Have We Found an Ideal Soft-Tissue Flap? 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