Closure of radial forearm free flap donor site: A comparative study between keystone flap and skin graft.
donor site morbidity
esthetic and functional results
keystone flap
radial forearm free flap
skin graft
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
05
06
2019
revised:
16
09
2019
accepted:
25
09
2019
pubmed:
18
10
2019
medline:
22
6
2021
entrez:
18
10
2019
Statut:
ppublish
Résumé
The aim was to investigate the feasibility of radial forearm free flap (RFFF) donor site closure by keystone flap (KF) and compare its outcomes to those of skin graft (SG) closure. One hundred and one patients who underwent RFFF for head and neck reconstruction were included (35 KF closure and 65 SG closure). Duration of wound healing and donor site complications was collected. After a minimal follow-up of 1 year, patients were questioned about functional and esthetic impairment. Coverage of donor site by KF was successful in all cases. The duration of wound healing was longer after SG than after KF (32 days vs 18 days, P < .001). Healing complications, esthetic and functional results were not statistically different. Forearm donor site closure by KF is a feasible alternative to the traditional SG. Its main advantages are the reduced wound healing time and the avoidance of a second donor site.
Sections du résumé
BACKGROUND
The aim was to investigate the feasibility of radial forearm free flap (RFFF) donor site closure by keystone flap (KF) and compare its outcomes to those of skin graft (SG) closure.
METHODS
One hundred and one patients who underwent RFFF for head and neck reconstruction were included (35 KF closure and 65 SG closure). Duration of wound healing and donor site complications was collected. After a minimal follow-up of 1 year, patients were questioned about functional and esthetic impairment.
RESULTS
Coverage of donor site by KF was successful in all cases. The duration of wound healing was longer after SG than after KF (32 days vs 18 days, P < .001). Healing complications, esthetic and functional results were not statistically different.
CONCLUSION
Forearm donor site closure by KF is a feasible alternative to the traditional SG. Its main advantages are the reduced wound healing time and the avoidance of a second donor site.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
217-223Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
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