title: Short-term donor site morbidity: A comparison of the anterolateral thigh and radial forearm fasciocutaneous free flaps.
abstract: Donor site morbidity is an important consideration in the overall decision-making algorithm for fasciocutaneous free flap reconstruction of the head and neck.
  
  
  
  A retrospective case series was conducted of donor site complications occurring within 30 days of surgery among 226 consecutive anterolateral thigh (ALT) or radial forearm free flap (RFFF) microvascular free tissue transfers performed by multiple reconstructive surgeons between 2005 and 2010.
  
  
  
  A greater number of donor site complications occurred among patients undergoing RFFF versus ALT free flaps (40; 35.4%; vs 14; 12.4%; p < .001). Wound dehiscence occurred significantly more frequently among patients undergoing RFFF versus ALT free flap reconstruction (34; 30%; vs 6; 5%; p < .001). Tendon exposure occurred in 16 of the 113 RFFFs (14.1%). Seromas occurred more commonly in the ALT group (6; 5%; vs 2; 1.7%; p = .280).
  
  
  
  Although short-term donor site morbidity was low in both groups, the ALT was associated with a significantly lower incidence of wound dehiscence with or without tendon exposure. © 2015 Wiley Periodicals, Inc. Head Neck 38: E945-E948, 2016.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, California.
authors.forename: P Daniel
authors.initials: PD
authors.lastname: Knott
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, California.
authors.forename: Rahul
authors.initials: R
authors.lastname: Seth
authors.affiliation: Private Practice, New York, New York.
authors.forename: Heather H
authors.initials: HH
authors.lastname: Waters
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Rush Medical Center, Chicago, Illinois.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Revenaugh
authors.affiliation: Cleveland Clinic Head and Neck Institute, Cleveland, Ohio.
authors.forename: Daniel
authors.initials: D
authors.lastname: Alam
authors.affiliation: Cleveland Clinic Head and Neck Institute, Cleveland, Ohio.
authors.forename: Joseph
authors.initials: J
authors.lastname: Scharpf
authors.affiliation: Kaiser Permanente, Virginia Medical Center, Falls Church, Virginia.
authors.forename: Noah E
authors.initials: NE
authors.lastname: Meltzer
authors.affiliation: Cleveland Clinic Head and Neck Institute, Cleveland, Ohio.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Fritz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005542:Forearm; D058752:Free Tissue Flaps / Q000637:transplantation*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013848:Thigh
keywords: donor site complications; fasciocutaneous free flap; head and neck surgery; microvascular surgery; reconstructive surgery