Simultaneous Application of Alloderm, Split-Thickness Skin Graft, and Negative Pressure Dressing at Radial Forearm Free Flap Donor Sites

2006 ◽  
Vol 22 (04) ◽  
Author(s):  
Joon Hong
Keyword(s):  
Skin Graft ◽  
Free Flap ◽  
Negative Pressure ◽  
Split Thickness Skin Graft ◽  
Radial Forearm Free Flap ◽  
Simultaneous Application ◽  
Thickness Skin ◽  
Radial Forearm ◽  
Pressure Dressing

Suprafascial Harvest of the Radial Forearm Free Flap Decreases the Risk of Postoperative Tendon Exposure

2017 ◽  
Vol 126 (3) ◽  
pp. 224-228 ◽  
Author(s):  
David C. Shonka ◽  
Nikita V. Kohli ◽  
Benjamin M. Milam ◽  
Mark J. Jameson
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Retrospective Chart Review ◽  
Split Thickness Skin Graft ◽  
Radial Forearm Free Flap ◽  
Tourniquet Time ◽  
Exact Test ◽  
Harvest Technique ◽  
Thickness Skin ◽  
Radial Forearm

Objective: To determine if suprafascial harvest of the radial forearm free flap improves postoperative donor site outcomes compared to subfascial harvest. Methods: Retrospective chart review. Results: Forty-six patients underwent reconstruction of a head and neck defect with a radial forearm free flap (RFFF). Subfascial harvest of the RFFF was performed in 25 (53%) patients and suprafascial harvest performed in 22 (47%) patients. All donor sites were covered with a split thickness skin graft and a bolster that remained in place for 6 days. Postoperative tendon exposure at the donor site occurred in 5 (20%) of the patients in the subfascial group and in 0 (0%) of the patients in the suprafascial group ( P = .05; Fisher’s exact test). Average tourniquet time was 117 minutes in the subfascial group and 102 minutes in the suprafascial group. Hematoma formation occurred at the donor site in 2 (8%) and 1 (5%) patients in the subfascial and suprafascial groups, respectively. There were no complete or partial flap losses in either group. Conclusions: Suprafascial harvest of the RFFF decreases the risk of postoperative tendon exposure. The suprafascial harvest technique does not increase harvest time or donor site complications, nor does it negatively impact flap vascularity.

Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site

2007 ◽  
Vol 28 (5) ◽  
pp. 325-329 ◽  
Author(s):  
Theresa B. Kim ◽  
Kris S. Moe ◽  
David W. Eisele ◽  
Lisa A. Orloff ◽  
Steven J. Wang
Keyword(s):  
Skin Graft ◽  
Free Flap ◽  
Donor Site ◽  
Radial Forearm Free Flap ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Radial Forearm

Closure of the Radial Forearm Free Flap Donor Site Using the Combined Local Triangular Full-Thickness Skin Graft

2016 ◽  
Vol 74 (1) ◽  
pp. 204-211 ◽  
Author(s):  
Manuel Moreno-Sánchez ◽  
Raúl González-García ◽  
Luis Ruiz-Laza ◽  
Damián Manzano Solo de Zaldívar ◽  
Carlos Moreno-García ◽  
...  
Keyword(s):  
Skin Graft ◽  
Free Flap ◽  
Donor Site ◽  
Radial Forearm Free Flap ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Radial Forearm
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