Ito Osamu, Igawa Hiroharu H, Suzuki Shigehiko, Muneuchi Gan, Kawazoe Takeshi, Saso Yasumi, Onodera Masayuki, Park Susam, Hata Yuiro
Department of Plastic Surgery, Kagawa University and Kagawa Prefectural Central Hospital, Kagawa, Japan.
J Reconstr Microsurg. 2005 Feb;21(2):113-7. doi: 10.1055/s-2005-864844.
A major disadvantage of free radial forearm flaps is the conspicuous donor site. However, there have been few studies on donor scars. The authors evaluated the donor site in patients who underwent oral-floor reconstruction with a free radial forearm flap. The subjects were 23 patients (19 males and four females) who underwent reconstruction with a free radial forearm flap following resection of a malignant oral tumor, and were followed for 1 year or longer. The fasciocutaneous flap collection site was closed by full-thickness skin graft (FTSG) from the groin with tie-over dressing. All grafts took perfectly. At the scar at the donor site, five items (pigmentation, scar width, depression, wrist mobility, and sensory abnormalities) were evaluated. Depression and pigmentation were often observed, but patient dissatisfaction was slight. While their main postoperative concern was the oral reconstruction site, after about 1 year, the donor site became more important to patients. However, the results were good. A 100 percent take of the FTSG at the donor site should produce good results. Surgeons should pay adequate attention not only to the outcome at the reconstruction site, but also to the closure of the donor site.
游离桡侧前臂皮瓣的一个主要缺点是供区明显。然而，关于供区瘢痕的研究较少。作者对接受游离桡侧前臂皮瓣进行口底重建的患者的供区进行了评估。研究对象为23例患者（19例男性和4例女性），这些患者在切除口腔恶性肿瘤后接受了游离桡侧前臂皮瓣重建，并随访1年或更长时间。筋膜皮瓣采集部位通过腹股沟全厚皮片移植（FTSG）并加压包扎进行闭合。所有移植皮片均完全成活。在供区瘢痕处，对五项指标（色素沉着、瘢痕宽度、凹陷、腕关节活动度和感觉异常）进行了评估。经常观察到凹陷和色素沉着，但患者的不满意程度较轻。虽然他们术后主要关心的是口腔重建部位，但大约1年后，供区对患者变得更加重要。然而，结果良好。供区FTSG 100%成活应能产生良好效果。外科医生不仅应充分关注重建部位的结果，还应关注供区的闭合情况。
