Full-Thickness Skin Graft From the Neck for Coverage of the Radial Forearm Free Flap Donor Site

The Boomerang Thigh Flap: Optimizing the Donor Site for an Extended Skin Island Flap

“…[42][43][44] The radial forearm flap, despite allowing circumferential forearm skin harvest, creates great morbidity in the donor area, which must be skin grafted, with poor visible aesthetic result and possible tendon exposure and damage. [45][46][47]…”

The reliability of the "Iberic graft" for covering of the radial forearm free flap donor site

“…[33,34] Other authors have recently reported the use of FTSGs harvested from the upper inner arm or neck for closure of the RFFF donor site defect, leading to a robust coverage. [35,36] Among 25 RFFFs used for soft tissue reconstruction, Kaltman et al [35] found donor site morbidity in only 1 case, which had a failed FTSG. They promoted the use of a technique similar to the one proposed by Avery et al, [14] which involves obtaining an FTSG from the inner arm to close the defect remaining from the RFFF harvesting.…”

“…However, they also reported wound dehiscence at the medial arm donor site in 2 patients. Hanna et al, [36] in a series of 50 patients who underwent RFFF reconstruction with repair of the donor site using an FTSG harvested along the neck dissection incision, reported minor skin loss in 15 cases (30%), which was managed with local wound care until healing by secondary intention. None of the patients had recipient site infections.…”

Basics of Microvascular Reconstruction of Maxillomandibular Defects

“…Importantly, cross-contamination from the head and neck with the forearm was not a problem. [24] The pre-operative application of topical tissue expansion tapes produces measurable changes in skin biomechanical properties. The location of this change on the dorsal forearm is consistent with the method of tape application.…”