TY - JOUR AU - Topham, Neal S. AB - IDEAS AND INNOVATIONS Improvement of the Radial Forearm Flap Donor Defect by Prelamination with Human Acellular Dermal Matrix Carlos R. Medina, M.D. Sameer A. Patel, M.D. John A. Ridge, M.D., Ph.D. Neal S. Topham, M.D. Philadelphia, Pa. he radial forearm free flap is the standard The human acellular dermal matrix is placed flap used for functional reconstruction of in the nondominant wrist under general anesthe- 1–3 partial glossectomy defects. Disadvantages sia as an ambulatory surgical procedure 2 weeks of the radial forearm free flap are primarily related before resection of the tongue malignancy. In the to the forearm donor site, which usually requires first stage of the reconstruction, a skin incision is skin grafting for closure. Complications include made, skin flaps are elevated on the hypodermal skin graft loss, tendon exposure, significant un- plane, and a human acellular dermal matrix sheet 4,5 sightly scaring, and poor texture. We introduce is sutured in place over the soft tissue located a new two-stage technique using human acellular under the skin flaps with the dermal side against dermal matrix (AlloDerm; LifeCell Corp., Branch- the wound bed (Fig. 1). A drain is placed and the burg, N.J.) that permits primary closure of the TI - Improvement of the Radial Forearm Flap Donor Defect by Prelamination with Human Acellular Dermal Matrix JF - Plastic & Reconstructive Surgery DO - 10.1097/PRS.0b013e31820cf427 DA - 2011-05-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/improvement-of-the-radial-forearm-flap-donor-defect-by-prelamination-RYqt8qrxaM SP - 1993 EP - 1996 VL - 127 IS - 5 DP - DeepDyve ER -