Closure of the donor site of the free radial forearm flap: a comparison of full-thickness graft and split-thickness skin graft.
BACKGROUND
Donor-site complications of free radial forearm flaps (FRFF) after closure with a split-thickness skin graft (STSG) have been reported repeatedly. Different types of closure of the donor site have been advocated to reduce donor-site complications. In our practice, a V-Y closure with a local full-thickness skin graft (FTG) is performed generally.


OBJECTIVE
A retrospective follow-up study was performed comparing subjective and objective outcomes of FTG versus STSG closure. FRFF donor site closure in 34 head and neck cancer patients (15 STSG, 19 FTG) was studied.


RESULTS
Both methods of closure showed good function, sensibility, and esthetic outcome. No statistical differences between the 2 methods could be shown.


CONCLUSIONS
V-Y local donor site closure is a good technique which prevents an additional donor site scar and discomfort when performing an STSG closure.
Zuidam
J Michiel
JM
Department of Plastic and Reconstructive Surgery, Erasmus Medical Centre Rotterdam, The Netherlands.
Coert
J Henk
JH
Hofer
Stefan O P
SO
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019666:Rubiaceae; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting; D014955:Wrist Joint / Q000502:physiology