Radial forearm flap surgery—evaluation of donor site morbidity

Radial forearm flap surgery—evaluation of donor site morbidity The free radial forearm flap is an excellent method for reconstruction of defects in the head and neck region. In the literature, there is still disagreement about the best surgical treatment of the forearm defect to avoid functional and cosmetic drawbacks. There is a debate about using full-thickness skin graft or better split thickness skin graft. To evaluate our own results after radial forearm flap surgery, a follow-up examination and standardized interview of 25 patients was performed. For closure of the donor site, a full skin graft from the groin was used in 17 cases and split skin graft from the thigh in eight cases. All patients were satisfied with postoperative results and hand function for everyday use. Subjective complaints were more common in the split skin graft group, especially related to loss of sensibility. Because of severe wound healing failure with tendon exposure in one case after split skin grafting, there was the necessity for surgical revision. During the medical examination, we documented more functional impairments in the split skin graft group than in patients after full skin grafting. Only the development of hypertrophic scars dominated in the full skin graft group. According to the trend to fewer complications, we prefer full-thickness skin grafts for the closure of the donor site after radial forearm flap surgery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Radial forearm flap surgery—evaluation of donor site morbidity

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Publisher
Springer Journals
Copyright
Copyright © 2008 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-008-0238-y
Publisher site
See Article on Publisher Site

Abstract

The free radial forearm flap is an excellent method for reconstruction of defects in the head and neck region. In the literature, there is still disagreement about the best surgical treatment of the forearm defect to avoid functional and cosmetic drawbacks. There is a debate about using full-thickness skin graft or better split thickness skin graft. To evaluate our own results after radial forearm flap surgery, a follow-up examination and standardized interview of 25 patients was performed. For closure of the donor site, a full skin graft from the groin was used in 17 cases and split skin graft from the thigh in eight cases. All patients were satisfied with postoperative results and hand function for everyday use. Subjective complaints were more common in the split skin graft group, especially related to loss of sensibility. Because of severe wound healing failure with tendon exposure in one case after split skin grafting, there was the necessity for surgical revision. During the medical examination, we documented more functional impairments in the split skin graft group than in patients after full skin grafting. Only the development of hypertrophic scars dominated in the full skin graft group. According to the trend to fewer complications, we prefer full-thickness skin grafts for the closure of the donor site after radial forearm flap surgery.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jul 1, 2008

References

  • Reconstruction of massive defects in the head and neck: the role of simultaneous distant and regional flaps
    Blackwell, KE; Buchbinder, D; Biller, HF; Urken, ML
  • Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?
    Witt, CA; Bree, R; Verdonck-de Leeuw, IM; Quak, JJ; Leemans, CR
  • Incidence of donor site skin graft loss requiring surgical intervention with the radial forearm free flap
    Emerick, KS; Deschler, DG
  • Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site
    Kim, TB; Moe, KS; Eisele, DW; Orloff, LA; Wang, SJ

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