Incidence of donor site skin graft loss requiring surgical intervention with the radial forearm free flap.
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.
Emerick
Kevin S
KS
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA. Kevin_Emerick@meei.harvard.edu
Deschler
Daniel G
DG
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