Comprehensive Analysis of Donor-Site Morbidity in Abdominally Based Free Flap Reconstruction

2015 ◽  
Vol 135 (1) ◽  
pp. 226e-227e ◽  
Author(s):  
Jon Peter Ver Halen ◽  
Nathan Stoikes ◽  
David Webb ◽  
Ben Powell ◽  
Guy Voeller
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Comprehensive Analysis ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

Comprehensive Analysis of Donor-Site Morbidity in Abdominally Based Free Flap Breast Reconstruction

2013 ◽  
Vol 132 (6) ◽  
pp. 1383-1391 ◽  
Author(s):  
Edward I. Chang ◽  
Eric I. Chang ◽  
Miguel A. Soto-Miranda ◽  
Hong Zhang ◽  
Naveed Nosrati ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Comprehensive Analysis

scholarly journals Full-Thickness Skin Grafts for Coverage of the Pedicle in Partial Second Toe Pulp Free Flap

2021 ◽  
Vol 17 (3) ◽  
pp. 237-241
Author(s):  
Won Jin Cha ◽  
Jeong Hwa Seo ◽  
Jeeyoon Kim ◽  
Sung-No Jung ◽  
Bommie Florence Seo
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Donor Site ◽  
Skin Grafts ◽  
Full Thickness ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Graft Area

Pedicle coverage during free flap reconstruction of the digit commonly presents complicated issues. As the finger is a cylindrical unit with small volume, it is difficult to secure ample soft tissue for relaxed coverage of the pedicle. We have applied full-thickness skin grafts (FTSGs) to loosely cover the pedicle of the free flap of the fingertip and report preliminary results. Seven patients who received free toe pulp flap and FTSG for soft tissue coverage of the pedicle were analyzed. Intraoperative parameters collected were defect, flap and graft area size and donor site. Patients were observed postoperatively for up to 2 months for graft take, necrosis, digit contour, and donor site complications. The average area of the free flap was 2.39±1.03 cm<sup>2</sup> and the average graft area was 1.37±1.06 cm<sup>2</sup>. The FTSG survived without sloughing or necrosis in six patients. Early epithelial sloughing with dermis take was noted in one patient who healed with dressings. The pedicle and graft portion showed bulging immediately after the operation but decreased to normal contour by 4 weeks. FTSG is an option that can be safely used as a method of pedicle coverage during free flap reconstruction of digits.

scholarly journals Radial Forearm Flap for Tongue Reconstruction

2008 ◽  
Vol 23 (2) ◽  
pp. 43-45
Author(s):  
Rodney Oliver J. Aragon ◽  
Samantha Soriano –Castaneda ◽  
Joselito F. David
Keyword(s):  
Neck Dissection ◽  
Free Flap ◽  
Donor Site ◽  
Radical Neck Dissection ◽  
Functional Restoration ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm ◽  
Tongue Reconstruction

Objective: To present a case of tongue reconstruction using radial forearm free flap. Methods: Design: Case Report Setting:  Tertiary government hospital Patient: One Results: A 52-year- old female with a T3N2cM0 Stage IVa right tongue carcinoma underwent tracheotomy, right hemiglossectomy with modified radical neck dissection type III and extended supraomohyoid neck dissection on the left with radial forearm free flap reconstruction. After 1 month, the radial forearm free flap reconstruction in the tongue had acceptable appearance and good tongue mobility with intelligible speech. The patient did not complain about the appearance and function of the left forearm. Conclusion: The radial forearm free flap is a viable reconstructive option for tongue defects especially where a thin, pliable flap is needed. There is acceptable form and functional restoration with minimal donor site morbidity. Keywords: radial forearm free flap, tongue reconstruction

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