The radial forearm free flap: our experience in solving donor site problems

Juretić, Mirna; Car, Marijan; Zambelli, Mario

doi:10.1016/s1010-5182(05)80394-4

Cited by 44 publications

(16 citation statements)

References 2 publications

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“…To do away with the need for an additional donor site for grafting, primary closure may be considered in small radial defects9. In medium-sized radial defects, Ular flap10, Z-plasty11, or modified Z-plasty of combined Ular flap and Z-plasty12 were introduced. Note, however, that local flap requires wide dissection underneath the local flap.…”

Section: Discussionmentioning

confidence: 99%

Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases

Kim

Chung

Cha

2013

J Korean Assoc Oral Maxillofac Surg

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ObjectivesFull thickness skin grafts (FTSG) offer several advantages; they are esthetically superb, have less postoperative shrinkage, and offer minimal postoperative pain and scar formation at the donor site. As a donor site of FTSG, the groin offers a relatively large area of skin with high elasticity. The aim of this study was to evaluate FTSG from the groin for reconstruction in oral and maxillofacial surgery.Materials and MethodsIn a retrospective study, 50 patients (27 males, 23 females) who received FTSG from the groin were evaluated for their operation records, clinical photography, and medical records.ResultsThe width of skin from the groin was distributed from 2-8 cm (mean: 5.1 cm) at the donor site, while the long axis length was distributed from 3-13 cm (mean: 7.4 cm). A high number of patients, 47 patients (94%) out of 50, showed good healing at the donor site. Wound impairment was seen in 3 patients (6%), minor wound dehiscence in 2 patients, and severe wound dehiscence in 1 patient. In the recipient site, delayed healing was observed in 2 patients (4%).ConclusionFTSG from the groin to repair soft tissue defects in reconstruction surgery is a good method due to the relatively big size of the graft, decreasing morbidity at the donor site, and higher graft survival rates.

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Section: Discussionmentioning

confidence: 99%

Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases

Kim

Chung

Cha

2013

J Korean Assoc Oral Maxillofac Surg

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“…7). We feel that a local ulnar forearm flap or a VY flap can be used to reconstruct smaller defects at the donor site, but defects larger than 35 cm 2 need, at least partly, a splitskin graft [15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Results after Resection of Intraoral Cancer and Reconstruction with the Free Radial Forearm Flap

Stark

Nathanson

Hedén

et al. 1998

ORL

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Between 1989 and 1996, 47 patients with an intraoral squamous cell carcinoma underwent tumor resection and reconstruction with a free volar forearm flap. Tumor resection and neck dissection were performed by a head and neck surgeon and the free tissue transfer by a plastic surgeon. Preoperative radiation therapy was given to 44 of 47 patients and postoperative radiation therapy to 2. One other patient was not irradiated. There were 15 females and 32 males, with a mean age of 61 years. The primary site of the cancer was the tongue in 15 cases, the floor of the mouth in 15, the tonsil in 10, the bucca in 3 and the retromolar trigone in 4 cases. The flap was harvested from the left forearm in 34 and from the right in 13 patients. The mean operation time was 10 h (range 6–20) and the mean intraoperative bleeding was 486 ml (250–2,500). Forty-four of 46 flaps healed completely. Twelve revisions on 9 free flaps were performed between 6 h and 6 days postoperatively. Overall revisional surgery was done in 9 of 47 cases (19%). Two flaps could not be saved (4%). Infections/fistulas in the neck occurred in 11 of 46 cases (24%). Complete healing of the donor site occurred at a mean of 2.5 months (1–5). Nine patients developed complications at the donor site, 3 hematomas and 6 superficial infections (19%). Twenty-seven of 47 patients are still alive (57%). The mean survival time was 49 months (16–71).

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“…39,40 Use of split or fullthickness skin grafts to cover the donor site often leads to poor results such as dyschromia and wide scarring. 41,42 Although less frequent, exposures of the tendon of both the flexor carpi radialis and the brachialis muscles have been experienced as a consequence of peritenon loss, such as in cases of median nerve lesions. 40 For these reasons, many techniques have been developed with the aim of reducing donor site morbidity.…”

Section: Discussionmentioning

confidence: 99%

Lining the mouth floor with prelaminated fascio‐mucosal free flaps: Clinical experience

Chiarini

Bedogni

et al. 2002

Microsurgery

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Soft-tissue defects of the mouth floor need thin, foldable, and pliable tissues able to preserve local anatomy as well as chewing, phonation, and deglutition. The oral mucosa is made of a stratified, nonkeratinized, epithelium-secreting mucus, which lubricates the oral cavity and facilitates tongue movements. No flap exists that can reproduce the physiology of the oral mucosa better than the oral mucosa itself. Prefabrication of mucosal flaps may represent the best solution. Therefore, 10 consecutive cases of mouth floor cancer were treated with prelamination of the fascia antibrachialis with mucosal grafts obtained from the healthy cheek, and with subsequent transplantation 3 weeks later. A significant increase in mucosal graft surface was seen in all cases, with a mean size twice the original. All flaps healed uneventfully. Follow-up time ranged between 2-60 months (average, 26.6 months). Morphological and functional results were excellent. Tongue motility, speech intelligibility, and swallowing were reestablished in all treated cases. Mucosal prelamination of the forearm fascia is feasible and allows physiological reconstruction of oral cavity defects up to 6 x 4 cm.

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The radial forearm free flap: our experience in solving donor site problems

Cited by 44 publications

References 2 publications

Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases

Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases

Results after Resection of Intraoral Cancer and Reconstruction with the Free Radial Forearm Flap

Lining the mouth floor with prelaminated fascio‐mucosal free flaps: Clinical experience

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