Closure of the Donor Site of the Free Radial Forearm Flap

Zuidam, J. Michiel; Coert, J. Henk; Hofer, Stefan O. P.

doi:10.1097/01.sap.0000185656.66239.ad

Cited by 58 publications

(23 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, the patients were satisfied with the scarring at the forearm in both groups (FTSG: 5.53; STSG: 6.03 on VAS), and no significant difference was found between the 2 groups ( P = 0.7668). This finding matched the findings of Zuidam, Coert, 24 who found hypertrophic scars in 10.53% of the patients. The heterogeneity of the results in the literature are an indication on how the subjective opinion of the investigator or the patient influences the results of the outcome.…”

Section: Discussionsupporting

confidence: 91%

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

Peters

Smit

Möhlhenrich

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 91%

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

Peters

Smit

Möhlhenrich

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Murray et al (2011) similarly concluded dermal substitutes provide advantages, however, not all patients (10%) could not return to the operating room for the second stage of skin grafting, and had resultant hypertrophic scarring. Also, graft uptake was still only 84%, which is not much of an improvement from other studies of traditional skin grafting methods (D'Arpa et al, 2018;Davis et al, 2011;Zuidam et al, 2005). Other synthetic dermal substitutes (Matriderm and amniotic membranes), used with STSG, have also shown success related to aesthetics and function, but there are not enough comparative studies to draw any conclusions at this time (Cristofari et al, 2020;Patel, 2022).…”

Section: Discussionmentioning

confidence: 87%

“…Eight studies were included in the final systematic review (D'Arpa et al, 2018; Davis et al, 2011; Ho et al, 2006; Krane et al, 2020; Molteni et al, 2022; Sidebottom et al, 2000; Thiele et al, 2008; Zuidam et al, 2005). This included a total of 366 skin grafts, 197 STSG and 169 FTSG.…”

Section: Resultsmentioning

confidence: 99%

Comparison of the outcomes of split thickness skin graft versus full thickness skin graft for closure of the radial forearm free flap donor site: A systematic review

Mosquera,

Weyh,

Malik

et al. 2023

Microsurgery

View full text Add to dashboard Cite

BackgroundRadial forearm free flap (RFFF) donor site closure is traditionally performed with split thickness skin grafts (STSG), which can be associated with poor aesthetics, wrist stiffness, paresthesia, reduced strength, and tendon exposure. Full thickness skin grafts (FTSG) are potentially beneficial as they provide a more durable coverage, and the skin graft donor site can be closed primarily, which is more aesthetic. The aim of this systematic review is to compare the outcomes of STSG versus FTSG for closure of the RFFF donor site.MethodsA systematic review was performed, following Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines. The primary objective was to answer: do subjects undergoing RFFF harvest, utilizing FTSG to close the RFFF donor site, compared to STSG, achieve superior aesthetics at the RFFF donor site? Included papers compared FTSG and STSG with statistical data. Means were compared with t‐test and proportions with Fisher's exact test.ResultsThe initial search resulted in 1851 studies. After applying the inclusion/exclusion criteria, the search resulted in eight studies, with 366 total skin grafts, 197 STSG and 169 FTSG. Six studies evaluated aesthetics utilizing a Likert scale, with the scaled average aesthetic score for FTSG being 7.9/10 compared to 6.9/10 for STSG (p < .001). Tendon exposure was measured in five studies, with a rate of 13.1% for STSG versus 10.6% for FTSG (p = .555). No significant difference in function was observed, however, methods to quantify function were heterogeneous.ConclusionFTSG compared to STSG, resulted in statistically significant improved aesthetics, with comparable rates of tendon exposure and function.

show abstract

“…Fibula donor sites were closed with split-thickness skin grafts and negative pressure dressing (VAC W ) dressings. A full-thickness skin graft taken from the upper forearm described by Zuidam et al 4 was used for closure of RFF donor site in all cases.…”

Section: Types Of the Flap And Operative Particularsmentioning

confidence: 99%

Balancing Training Opportunities and Patient Outcomes

Mughal¹,

Sleiwah

Townley

2021

Ann Plast Surg

View full text Add to dashboard Cite

Microvascular free tissue transfer is the criterion standard of reconstruction post–oncological resections of the head and neck region. We present a consultant's first 200 consecutive microvascular head and neck reconstructions in independent practice. A retrospective analysis of a prospectively collected database of all head and neck reconstructions performed in the first 3 years of practice was performed. These included 200 consecutive microvascular head and neck reconstructions performed by a single surgeon at a tertiary referral center. We review the results and complications in this series and discuss factors significant for successful outcomes in head and neck reconstruction. We also highlight that different parts of the surgery in the majority of cases were performed by a trainee under the supervision of the senior surgeon and thus discuss the need for training future plastic surgeons with an interest in head and neck reconstruction.

show abstract

Closure of the Donor Site of the Free Radial Forearm Flap

Abstract: V-Y local donor site closure is a good technique which prevents an additional donor site scar and discomfort when performing an STSG closure.

Cited by 58 publications

References 37 publications

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

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

Comparison of the outcomes of split thickness skin graft versus full thickness skin graft for closure of the radial forearm free flap donor site: A systematic review

Balancing Training Opportunities and Patient Outcomes

Contact Info

Product

Resources

About