Hinged Forearm Split-Thickness Skin Graft for Radial Artery
                        Fasciocutaneous Flap Donor Site Repair

Boahene, Kofi; Richmon, Jeremy D.; Byrne, Patrick J.; Ishii, Lisa E.

doi:10.1001/archfaci.2011.65

Cited by 8 publications

(10 citation statements)

References 14 publications

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“…This approach eliminates the need for an additional donor site and results in a good color match at the forearm but it may cause extensive scaring and disrupt lymphatic drainage. Boahene et al 7 reported the use of a hinged STSG taken from the primary flap donor site. However, with this method, caution should be exercised in the design and application of de-epithelialized flaps in tubed pharyngoesophageal reconstructions as intraluminal scarring will lead to stenosis and impaired swallowing.…”

Section: Discussionmentioning

confidence: 99%

“…To date, many options are available for closing the RFFF donor site without the need for an additional operative site. These included ipsilateral FTSG, hinged radial forearm STSG, ulnar perforator flap, cross‐suturing, artificial skin graft, tissue expander, local hatchet flap, and snake design RFFF flap …”

Section: Introductionmentioning

confidence: 99%

“…5 To date, many options are available for closing the RFFF donor site without the need for an additional operative site. These included ipsilateral FTSG, 6 hinged radial forearm STSG, 7 ulnar perforator flap, 8 cross-suturing, 9 artificial skin graft, 10 tissue expander, 11 local hatchet flap, 12 and snake design RFFF flap. 4 In this manuscript, we describe a new technique for closing the RFFF donor site based on the use of a bilobed transposition flap and evaluate its effectiveness and safety.…”

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confidence: 99%

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Novel technique for the direct closure of the radial forearm flap donor site defect with a local bilobed flap

et al. 2019

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Background The donor site defect remains the major disadvantage of the radial forearm free flap (RFFF). The purpose of this case series was to evaluate the effectiveness and safety of a local bilobed flap in direct closure of the RFFF donor site defect. Methods Between February 2017 and July 2017, a prospective study was designed with 13 patients who had undergone RFFF reconstruction of the oral cavity. The primary purpose was to assess the effectiveness and safety of a bilobed flap closure of the RFFF donor site with primary healing. The late endpoint was to evaluate functional morbidity of the donor hand by comparing preoperative and postoperative outcomes. Results The donor site defect healed primarily in 12 of the 13 patients. A small area of skin necrosis (4%) developed in one patient, which was managed conservatively and healed by secondary intention. A significant reduction of wrist extension (mean difference [MD] = 2.64°, P = .01) and grip strength (MD = 3.68 kg, P = .04) was observed between preoperative and postoperative measurements. No statistically significant difference was observed regarding flexion, radial deviation, ulnar deviation, supination, pronation and pinch strength (P > .05). Conclusions The bilobed flap is a reliable and effective method for closure of a RFFF donor site defect, ≤5 cm in greatest length. The advantages are excellent regional skin color match and avoidance of a second donor site and its inherent complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Novel technique for the direct closure of the radial forearm flap donor site defect with a local bilobed flap

et al. 2019

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“…Skin grafting with a split thickness skin graft (STSG) has been the mainstay of RFFF donor site closures. While traditionally harvested from a separate site, skin grafts can also be safely harvested from the radial forearm flap itself with good results [11]. Regardless of the method, STSG closure has been associated with several complications.…”

Section: Skin Graftingmentioning

confidence: 99%

Reducing morbidity in radial forearm free flap donor site: a review of closure techniques

Patel

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Radial forearm free tissue transfer (RFFF) has been an extremely reliable reconstructive option for head and neck oncologic defects for over 30 years. With high reliability, interest has shifted in minimizing donor site morbidity, much of which results from closure techniques. Recent findingsPortable negative pressure wound devices, newer dermal substitutes, and local flap techniques have improved donor site aesthetics and function.

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“…This has been described by Boahene et al and we have had good results using this technique in our practice. 27 Regardless of where the split thickness skin graft is taken from, the forearm site can still be cosmetically unappealing after healing which is important to counsel the patient on pre-operatively. 28…”

Section: Radial Forearm Free Flapmentioning

confidence: 99%

Free tissue reconstruction of the anterior skull base: A review

Bell

Cohen

Sargi

et al. 2020

World j. otorhinolaryngol.-head neck surg.

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ObjectiveThere has been a significant shift from open craniofacial resection of the anterior skull base to endoscopic approaches that accomplish the same outcomes in tumor ablation. However, when open resection is required, free flap reconstruction is often necessary to provide sufficient well‐vascularized tissue for optimal wound healing as well as providing adequate tissue bulk for cosmesis. This articleaims to providea focused review of free flaps most commonly used in anterior skull base reconstruction.MethodsThis is a state‐of‐the‐art review based on expert opinion and previously published reviews and journal articles, queried using PubMed and Google Scholar.Results & conclusionAnterior skull base reconstruction via free tissue transfer is imperative in limiting complications and promoting healing, particularly with large defects, post‐radiation, and in at‐risk patients. The type of free flap utilized for a particular anterior skull base reconstruction should be tailored to the patient and nature of the disease. This review offers insight into the numerous reconstructive options for the free flap surgeon.

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Hinged Forearm Split-Thickness Skin Graft for Radial Artery Fasciocutaneous Flap Donor Site Repair

Cited by 8 publications

References 14 publications

Novel technique for the direct closure of the radial forearm flap donor site defect with a local bilobed flap

Novel technique for the direct closure of the radial forearm flap donor site defect with a local bilobed flap

Reducing morbidity in radial forearm free flap donor site: a review of closure techniques

Free tissue reconstruction of the anterior skull base: A review

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