Repair of radial forearm free flap donor defect using ulnar forearm flap.
- Author:
Young Ic KWON
1
;
Hee Chang AHN
;
Bong Gun CHOI
;
Shin Kyu LEE
;
Im Cheol CHO
;
Ki Il UHM
Author Information
1. Department of Plastic of Reconstructive Surgery, College of Medicine, Hanyang University.
- Publication Type:Original Article
- Keywords:
Radial forearm free flap;
Donor morbidity;
V-Y fashion closure;
Ulnar forearm fasciocutaneous flap
- MeSH:
Cicatrix;
Forearm*;
Free Tissue Flaps*;
Humans;
Oropharyngeal Neoplasms;
Skin;
Tissue Donors*;
Transplants;
Ulnar Artery;
Wounds and Injuries;
Wrist
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
1998;25(1):139-144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study is to introduce a new method to reduce the donor morbidity of radial forearm free flap using ulnar forearm flap, and to evaluate its usefulness and results. 6 patients underwent radial forearm free flap designed by authors and we repaired radial forearm flap donor defect using ulnar forearm flap following ablative surgery for oropharyngeal cancers from June 1995 to February 1997. Radial forearm flap was designed just proximal to wrist crease, and its vascular pedicle was placed in the center of flap. Donor defect was repaired with V-Y fashion closure using ulnar artery axial pattern fasciocutaneous flap. Mean closing time of donor site was 30 minutes. and mean healing period of donor site was 10 days. There was no difficulty in closure. All donor sites healed completely without complication. Limitation of motion was not noticed in the wrist and forearm. We conclude that repair of radial forearm flap donor defect using ulnar forearm flap is new excellent method to prevent the prominent scar of forearm in cases of conventional skin graft for donor defect, and provide rapid healing of wound with low risk of complication
