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Abstract: Prospective Analysis of Double Skin Paddle Fibula Flap for Composite Head and Neck Reconstruction

METHODS: A retrospective cohort study was conducted evaluating patients who underwent ERFFF or RFFF by a single surgeon for head and neck reconstruction between 03/2012 and 12/2015. Data recorded includes patient characteristics, duration of harvest, methods of donor site reconstruction, and postoperative complications. A telephone survey was conducted to obtain patientreported outcomes, excluding patients within six months of surgery. Donor site appearance was assessed with four questions regarding associated distress and/or embarrassment, effect on choice of clothing, desire for a more normal appearance, and overall satisfaction with appearance. Functional deficit was assessed with four questions regarding associated discomfort, changes in strength and/or flexibility, numbness, and cold-sensitivity. Overall satisfaction was also assessed.