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. 2001 Feb;30(1):37-41.
doi: 10.1054/ijom.2000.0016.

Suprafascial dissection of the radial forearm flap and donor site morbidity

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Suprafascial dissection of the radial forearm flap and donor site morbidity

C M Avery et al. Int J Oral Maxillofac Surg. 2001 Feb.

Abstract

A cutaneous free radial forearm flap was harvested from 25 patients using a suprafascial dissection technique. The donor site was managed with either a full or split thickness skin graft and a negative pressure wound dressing. The incidence of initial complete graft take was 96% at day 5 and 100% by 1 month. There was 100% early and complete graft take in the full thickness group but one area of partial loss in the split thickness group. This area of graft loss represented less than 0.5% of the total grafted area in this series. The mean time to wound healing was 14 days. There were no cases of tendon exposure or delayed healing. The suprafascial dissection creates a superior graft recipient bed. When combined with the negative pressure wound dressing technique it ensured early and complete graft take.

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