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

González-García, Raúl; Ruíz-Laza, Luis; Manzano, Damián; Monje, Florencio

doi:10.1097/prs.0b013e3181c726bc

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…Previously described FTSG donor site locations vary and include the groin, 8 abdomen, 24,25 ipsilateral upper arm, 26,27 or the ipsilateral forearm. 9,11,12,14,18,28,29 Methods for obtaining FTSGs from the ipsilateral forearm, thereby avoiding an additional donor site, include using triangular-shaped grafts from the forearm donor tissue, 28,29 tissue adjacent to the vascular pedicle incision, 9-11 or tissue from the volar aspect of the forearm with a V-Y advancement closure. 12-18 Previous studies examining the difference between FTSGs, when obtained from the groin or abdomen, and STSGs in the reconstruction of the forearm donor site have contrasting results; 1 study found no significant difference in the aesthetic appearance comparing FTSGs to STSGs, 30 while the other demonstrated superior aesthetic outcomes in the FTSG group.…”

Section: Discussionmentioning

confidence: 99%

Reconstructing Forearm Free Flap Donor Sites Using Full‐Thickness Skin Grafts Harvested from the Ipsilateral Arm

Krane

Mowery

Azzi

et al. 2020

Otolaryngol.--head neck surg.

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Objective To compare morbidity and aesthetic outcomes of full-thickness skin grafts (FTSGs) and split-thickness skin grafts (STSGs) in the reconstruction of the forearm free flap donor site. Study Design Case series, retrospective chart review. Setting Institutional microvascular database. Subjects and Methods Subjects who underwent forearm free flaps and FTSGs for donor site reconstruction from April 2016 to November 2017 were included. FTSGs were obtained from the donor forearm with a proximal S-shaped incision, thereby avoiding additional wound creation. Morbidity outcomes were compared to 68 consecutive patients with STSG reconstruction from January 2009 to May 2010. Complications, including tendon exposure, subjective functional impairment, complete graft loss, partial graft loss, infection, paresthesias, and hematoma/seroma, were evaluated, as were aesthetic outcomes. Results Sixty-eight patients underwent FTSG reconstruction. No significant differences between FTSGs and STSGs were demonstrated in terms of graft loss ≥40% (4% vs 4%, P = 1.000), partial graft loss (<40%) (29% vs 40%, P = .207), tendon exposure (9% vs 12%, P = .573), infection (15% vs 13%, P = .805), paresthesias (12% vs 7%, P = .382), subjective functional impairment (0% vs 2%, P = .316), or hematoma/seroma (2% vs 0%, P = .316). Aesthetic outcomes were better in the FTSG group compared to the STSG group, as determined by both patients ( P = .004) and surgeon ( P < .001). Conclusions Our results advocate for the consideration of FTSGs in the reconstruction of the forearm free flap donor site given superior aesthetic results without additional donor site morbidity or additional wound creation when compared to STSGs.

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