Cross-suturing as an aid to wound closure: a prospective randomised trial using the forearm flap donor site as a model

Moazzam, Amber; Gordon, Derek J.

doi:10.1016/s0007-1226(03)00213-3

Cited by 29 publications

(10 citation statements)

References 19 publications

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“…[5][6][7] For small donor defects, some other coverage methods have been reported, such as direct closure with a device, 11 a local flap, 8,12 and secondary repair (tissue expansion, 13 or allogenic dermis 14 , etc. 15 ). Although these are good ideas and innovations, we consider that FTSG has wide applications and is the most acceptable method for the immediate reconstruction of radial forearm flap donor coverage.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Donor Site in Patients who Underwent Reconstruction with a Free Radial Forearm Flap

Ito

Igawa

Suzuki

et al. 2005

J reconstr Microsurg

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A major disadvantage of free radial forearm flaps is the conspicuous donor site. However, there have been few studies on donor scars. The authors evaluated the donor site in patients who underwent oral-floor reconstruction with a free radial forearm flap. The subjects were 23 patients (19 males and four females) who underwent reconstruction with a free radial forearm flap following resection of a malignant oral tumor, and were followed for 1 year or longer. The fasciocutaneous flap collection site was closed by full-thickness skin graft (FTSG) from the groin with tie-over dressing. All grafts took perfectly. At the scar at the donor site, five items (pigmentation, scar width, depression, wrist mobility, and sensory abnormalities) were evaluated. Depression and pigmentation were often observed, but patient dissatisfaction was slight. While their main postoperative concern was the oral reconstruction site, after about 1 year, the donor site became more important to patients. However, the results were good. A 100 percent take of the FTSG at the donor site should produce good results. Surgeons should pay adequate attention not only to the outcome at the reconstruction site, but also to the closure of the donor site.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Donor Site in Patients who Underwent Reconstruction with a Free Radial Forearm Flap

Ito

Igawa

Suzuki

et al. 2005

J reconstr Microsurg

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“…However, multiple other techniques, each with their advantages and drawbacks, have been reported. 3,[11][12][13][14] Most frequently used techniques can be subdivided in local fasciocutaneous transposition flaps 13,15 and full-thickness skin grafts (FTG). 16,17 Local fasciocutaneous transposition flaps give good quality skin, but they require an extensive dissection of the forearm.…”

mentioning

confidence: 99%

Closure of the Donor Site of the Free Radial Forearm Flap

Zuidam

Coert

Hofer

2005

Annals of Plastic Surgery

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“…The method of choice to close donor sites after obtaining a radial forearm flap is primary closure with sutures 11 or by a local cubital rotational flap. The cubital flap limits the width of the donor area to 6 cm 5 and may present disadvantages such as chronic lymphedema and denervation of the volar forearm.…”

Section: Discussionmentioning

confidence: 99%

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

Peña

Villalaín

García

et al. 2012

Journal of Oral and Maxillofacial Surgery

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Purpose:The radial forearm flap is one of the most commonly used methods for intraoral reconstruction in oral carcinoma surgery. One of its disadvantages is the residual functional and unaesthetic defect in the donor site. The objective of this report is to describe preliminary cases of a novel method to cover such donor sites based on the use of autologous skin equivalents (ASEs) and an artificial dermal matrix (Integra, Prim, Barcelona, Spain). Materials and Methods: The donor sites of 2 patients were treated with the artificial dermal matrix after raising a radial forearm flap. A skin biopsy and a blood sample were taken to construct an ASE. After 3 weeks, the ASE was applied over the dermal template and left to heal. The functional and esthetic results were recorded. Results: Good functional and esthetic results were achieved, with correct wrist motility, although a natural skin color could not be achieved. Neither the Integra nor the ASE was rejected. Total wound coverage was achieved at 4 months, and completely normal skin was observed at 6 months. Conclusions: This technique of combining an artificial dermal matrix with an ASE could be an alternative method to cover the donor sites of radial forearm flaps.

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Cross-suturing as an aid to wound closure: a prospective randomised trial using the forearm flap donor site as a model

Cited by 29 publications

References 19 publications

Evaluation of the Donor Site in Patients who Underwent Reconstruction with a Free Radial Forearm Flap

Evaluation of the Donor Site in Patients who Underwent Reconstruction with a Free Radial Forearm Flap

Closure of the Donor Site of the Free Radial Forearm Flap

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

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