Der suprafaszial gehobene freie unterarmlappen - Indikationen, operationstechnik und nachuntersuchung des hebedefektes

Translated title of the contribution: The suprafascially elevated radial forearm flap - Indications, technique, and donor-site morbidity

Barbara S. Lutz*, Sophia C.N. Chang, Shiouw Shuh Chuang, Fu Chan Wei

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

6 Scopus citations

Abstract

From March 1995 to May 1997, 66 free radiant forearm flaps were used for orofacial reconstructions. All flaps were elevated following the suprafascial technique. Donor-site closure was performed with split-thickness skin grafts in 54 cases, and with full-thickness skin grafts in 12 patients. Investigations after six months included grip strength, pulp-to-pulp pinch strength, range of motion as compared to preoperative values, aesthetical self-assessment, cold intolerance, and dysesthesias. The latter evaluation could be performed in 42 patients, whereas the complete follow-up protocol included 36 patients. Primary wound healing with immediate complete take of skin grafts was achieved in 93.9%. Grip strength and pulp-to-pulp pinch strength showed no decrease postoperatively. An impairment of range of motion of the wrist was observed in 2.8%. There was no cold intolerance. Aesthetical outcome was rated as good or fair in 97.3%. Slight numbness distally to the donor-site was found in 59.5%. The results of this prospective study show a superiority of suprafascial elevation of the radial forearm flap as compared to the classic elevation technique, particularly in a higher rate of primary wound healing, thus avoiding impairment of range of motion and strength of the donor hand.

Translated title of the contributionThe suprafascially elevated radial forearm flap - Indications, technique, and donor-site morbidity
Original languageGerman
Pages (from-to)10-14
Number of pages5
JournalHandchirurgie Mikrochirurgie Plastische Chirurgie
Volume31
Issue number1
DOIs
StatePublished - 01 1999

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