Objective and Subjective Comparisons of Split Thickness Skin Graft and Full Thickness Skin Graft for Radial Forearm Flap Donor Sites Using a New Measuring Method

Abstract

could infer meaningful results by reflecting the actual nasal dimensions in unilateral cleft lip patients.The 3D imaging analysis has become possible owing to recent advances in technology. Three-dimensional imaging systems have advantages of accuracy of image measurement, as well as limited distortion in image capture. Moreover, 3D surface data can be archived for the subsequent analysis, and the data is less influenced by subject's head position at the time of acquiring images. 2D photographs require several views of the face to analyze the shape, but a single 3D image can analyze almost the whole facial surface by rotating the image. It leads to higher accuracy and less distortion in measuring inter-landmark distances and calculating its ratios. Although setting up a 3D system is expensive and requires considerable knowledge about computer software, it is now widespread in many institutions. The use of 3D imaging systems may present new opportunities for plastic surgeons to plan and assess patients accurately.

Full-Thickness Skin Graft Versus Split-Thickness Skin Graft for Radial Forearm Free Flap Transfer in Oral Cavity Reconstruction: A Systematic Review and Meta-Analysis

“…Pain: Pain at the donor site was established as an essential outcome measure across six studies in our metaanalysis [10,11,[13][14][15][16]. Among these studies, Peter et al [13], Sidebottom et al [14], and Vahldieck et al [15] conducted quantitative assessments of pain, involving a total of 234 patients, and were thus included in the meta-analysis.…”

“…Eight studies were identified as eligible for inclusion in this study [9][10][11][12][13][14][15][16].…”

“…Peters et al [13] conducted a retrospective study aiming to assess the aesthetic outcomes of radial forearm flap donor sites covered with either STSGs or FTSGs using objective measurement methods. The study involved 30 patients (15 FTSG, 15 STSG) whose forearms were scanned with a three-dimensional (3D) scanner.…”

Reducing morbidity in radial forearm free flap donor site: a review of closure techniques

“…Peters et al examined the use of an optical three-dimensional scanner to objectively evaluate defect volume at the donor site for STSG versus FTSG reconstruction. The authors found greater surface variation in patients undergoing STSG reconstruction, but no subjective differences in aesthetics – suggesting that patient-reported aesthetic measures are multifactorial [19 ▪▪ ]. Functionally, FTSG has had mixed results when compared to STSG.…”

Robot-assisted radial forearm free flap harvesting: a propensity score-matched case–control study

“…While full or split thickness skin graft is widely used to cover skin paddle defects, attempts with local ap and autologous fat transplantation have been tried, with favorable results [5,6,7]. Endoscopic-assisted pedicle dissection has been utilized to reduce linear scarring for harvesting vascular pedicle [8].…”