Closure of radial forearm free flap donor site: A comparative study between keystone flap and skin graft

被引：17
作者：
Potet, Pauline [1 ]
De Bonnecaze, Guillaune [1 ]
Chabrillac, Emilien [1 ]
Dupret-Bories, Agnes [2 ]
Vergez, Sebastien [1 ,2 ]
Chaput, Benoit [3 ]
机构：
[1] Toulouse Univ Hosp, Hop Larrey, Dept ENT & Head & Neck Surg, Toulouse, France
[2] Inst Univ Canc Toulouse, Dept Surg, Toulouse, France
[3] Toulouse Univ Hosp, Dept Plast & Aesthet Surg, Hop Rangueil, Toulouse, France
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 02期
关键词：
esthetic and functional results; donor site morbidity; keystone flap; radial forearm free flap; skin graft; MORBIDITY; PERFORATOR; COVERAGE; HARVEST;
D O I：
10.1002/hed.25977
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
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.
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收藏
页码：217 / 223
页数：7
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