Pursestring closure of radical forearm fasciocutaneous donor sites

Catherine P. Winslow, Juliana Hansen, Doug Mackenzie, James Cohen, Mark Wax

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background: The radial forearm fasciocutaneous free flap has become one of the most common methods of reconstructing defects after head and neck ablative surgery. The fasciocutaneous flap is an excellent replacement for the tissue that has been removed. Unfortunately, donor site morbidity remains a problem. Donor site morbidity is primarily related to poor skin graft take, cosmesis, and neural dysfunction. Decreasing the size of the donor site defect may allow for improved cosmesis with decreased morbidity. Material and Methods: Prospective evaluation of a pursestring closure of radial forearm fasciocutaneous donor sites over a 16-month period. Results: Seventy-one radial forearm free flaps were used. Sixty-seven had a pursestring closure of the donor site. After flap elevation the mean size of the defect was 61 cm2 (range, 28-140 cm2). Pursestring closure decreased the mean of the defect to 34 cm2 (range, 10-104 cm2) (P 25%) (9% of patients) was less than that reported in the literature. No patient required a second surgical procedure. Neural morbidity was equal in both groups. Cosmesis was much improved. Conclusions: Pursestring closure allowed for a significantly decreased donor defect, associated with better cosmesis and less skin graft loss.

Original languageEnglish (US)
Pages (from-to)1815-1818
Number of pages4
JournalLaryngoscope
Volume110
Issue number11
StatePublished - 2000

Fingerprint

Forearm
Tissue Donors
Morbidity
Free Tissue Flaps
Transplants
Skin
Neck
Head

Keywords

  • Closure
  • Morbidity
  • Radial forearm
  • Reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Pursestring closure of radical forearm fasciocutaneous donor sites. / Winslow, Catherine P.; Hansen, Juliana; Mackenzie, Doug; Cohen, James; Wax, Mark.

In: Laryngoscope, Vol. 110, No. 11, 2000, p. 1815-1818.

Research output: Contribution to journalArticle

Winslow, Catherine P. ; Hansen, Juliana ; Mackenzie, Doug ; Cohen, James ; Wax, Mark. / Pursestring closure of radical forearm fasciocutaneous donor sites. In: Laryngoscope. 2000 ; Vol. 110, No. 11. pp. 1815-1818.
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