Suprafascial dissection of the radial forearm flap and donor site morbidity

被引:47
作者
Avery, CME
Pereira, J
Brown, AE
机构
[1] Queen Victoria Hosp, Dept Maxillofacial Surg, E Grinstead RH19 3DZ, W Sussex, England
[2] Queen Victoria Hosp, Dept Plast Surg, E Grinstead RH19 3DZ, W Sussex, England
关键词
radial flap; donor site; suprafascial dissection; negative pressure wound dressing;
D O I
10.1054/ijom.2000.0016
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
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.
引用
收藏
页码:37 / 41
页数:5
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