"Z-plasty" modification of ulnar-based fasciocutaneous flap for closure of the radial forearm flap donor defect.
The radial forearm flap is a commonly used method of intra-oral reconstruction, but problems with the donor site are not uncommon. In an attempt to avoid complications, Elliot et al described the use of an ulnar-based flap to obtain direct closure. Where it was not possible to close the proximal defect using V-Y closure, the use of a split skin graft was recommended. We describe a modification of their technique that can potentially obviate the need of a split skin graft when proximal closure is not possible.
Bashir
Muhammad Asim
MA
Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle-Upon-Tyne, UK. abashirus@yahoo.com
Fung
Victoria
V
Kernohan
Michael David
MD
Ragbir
Maniram
M
Ahmed
Omar A
OA
D005205:Fascia / Q000637:transplantation*; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D011884:Radius / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D014019:Tissue Donors; D014457:Ulna