title: Incidence of donor site skin graft loss requiring surgical intervention with the radial forearm free flap.
abstract: BACKGROUND
  Many methods of managing the fasciocutaneous radial forearm free flap (RFFF) donor site have been described. Ideal management would be technically easy to perform, reliable, cost-effective, and prevent further complications.
  
  
  METHODS
  The clinical records of 54 consecutive patients undergoing RFFF surgery by the senior author were reviewed. Records were reviewed to identify donor sites with significant breakdown that required intervention.
  
  
  RESULTS
  Fifty-four patients were identified. Only 1 patient had significant tendon exposure. A V to Y closure was performed. The site healed well following this procedure and no further intervention was required. No other donor site complications were noted in this group.
  
  
  CONCLUSIONS
  The incidence of wound breakdown requiring surgical intervention at the RFFF donor site is less than 2% utilizing a simple technique of split thickness skin grafting, bolster, and short-term splinting. This study demonstrates the low donor site morbidity of the RFFF.
authors.affiliation: Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA. Kevin_Emerick@meei.harvard.edu
authors.forename: Kevin S
authors.initials: KS
authors.lastname: Emerick
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Deschler
mesh_terms: D000369:Aged, 80 and over; D005542:Forearm / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D009779:Occlusive Dressings; D016038:Skin Transplantation; D013165:Splints; D013524:Surgical Flaps / Q000009:adverse effects*; D014945:Wound Healing