Combined Local Triangular Full-Thickness Skin Graft for the Closure of the Radial Forearm Free Flap Donor Site: A New Technique

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

“…FTSGs harvested from the abdomen for donor site closure have been used and several complications have been observed, including hematomas, postoperative pain, delayed healing, poor esthetic results, and the need for a second surgical site. [27] An FTSG from the inner arm has been used by other investigators, but they claim that additional time for removal of the tourniquet and further preparation and draping of the arm are required. [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.…”

“…As described by González-García et al, [27] the design of the RFFF begins by outlining the course of the dominant subcutaneous veins and the palpable pulse of the radial artery. The flap is elevated in a subfascial layer in a few cases and in a supra-fascial layer in other cases.…”

“…To avoid complications at the donor site from RFFF harvesting, such as color mismatch and secondary donor site morbidity, a new technique named ''Iberic graft'' for covering the RFFF donor site based on the use of combined local FTSG triangles within a geometric model concept was described by the authors' group in 2009. [27] Since its description, we have used this technique for covering the RFFF donor site in 125 patients. In this article, we analyzed the results (esthetics and function) using the Iberic graft.…”

Commentary of ��skin grafting the vascular pedicle: a useful technique to avoid microvascular collapse in free tissue transfer for limb salvage��

“…If the anastomosis site is too far from the defect, a chimeric flap can be designed, either adipofascial tissue on its own perforator, or a small segment of vastus or rectus muscle based on a branch close to the pedicle origin. Yet another method consists of rearranging tissues adjacent to pedicle [10,11] . Rearrangement strategies can be as simple as undermining and advancing local tissue or creating local flaps.…”

Use of Autologous Skin Equivalents With Artificial Dermal Matrix (Integra) in Donor Site Coverage in Radial Forearm Free Flaps: Preliminary Cases

“…Different methods have been used to solve this problem, such as full-or partial-thickness skin grafts, 3 an artificial dermal matrix with ultrathin skin grafts, 4 cubital rotational flaps, 5 or tissue expanders before surgery. 6 However, none is free from complications, such as the partial or total loss of the graft, chronic lymphedema, neurosensory alterations, tendon exposure, and unaesthetic results.…”