Article

Suprafascial dissection of the radial forearm flap and donor site morbidity.

Department of Maxillofacial Surgery, The Queen Victoria Hospital, East Grinstead, UK.
International Journal of Oral and Maxillofacial Surgery (impact factor: 1.51). 03/2001; 30(1):37-41. DOI:10.1054/ijom.2000.0016 pp.37-41
Source: PubMed

ABSTRACT A cutaneous free radial forearm flap was harvested from 25 patients using a suprafascial dissection technique. The donor site was managed with either a full or split thickness skin graft and a negative pressure wound dressing. The incidence of initial complete graft take was 96% at day 5 and 100% by 1 month. There was 100% early and complete graft take in the full thickness group but one area of partial loss in the split thickness group. This area of graft loss represented less than 0.5% of the total grafted area in this series. The mean time to wound healing was 14 days. There were no cases of tendon exposure or delayed healing. The suprafascial dissection creates a superior graft recipient bed. When combined with the negative pressure wound dressing technique it ensured early and complete graft take.

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Keywords

1 month
 
25 patients
 
cases
 
complete graft
 
cutaneous free radial forearm flap
 
donor site
 
graft loss
 
healing
 
initial complete graft
 
negative pressure wound
 
partial loss
 
split thickness skin graft
 
superior graft recipient bed
 
tendon exposure
 
total grafted area
 
wound healing