Kim Theresa B, Moe Kris S, Eisele David W, Orloff Lisa A, Wang Steven J
University of California, San Francisco, Department of Otolaryngology--Head and Neck Surgery, San Francisco, California 94121, USA.
Am J Otolaryngol. 2007 Sep-Oct;28(5):325-9. doi: 10.1016/j.amjoto.2006.10.009.
The purpose of this study is to describe the use of a full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site. Our hypothesis is that the use of the full-thickness skin graft decreases morbidity and improves functional and cosmetic outcome at the skin graft donor site while also providing excellent coverage of the forearm donor site.
This study used a retrospective chart review design.
Patients undergoing radial forearm free flap reconstructions from 1995 to 2005 were included. Forty patients underwent radial forearm free flap reconstruction with closure of the forearm donor site with a full-thickness skin graft harvested from the groin. The inguinal donor site was closed primarily. Medical records including clinic notes, operative reports, and photographs were reviewed.
There was 1 minor wound dehiscence at the groin site, and there were 5 minor forearm wound dehiscences with 2 cases of tendon exposure; all dehiscences were treated conservatively with local wound care. Both the groin wound and forearm donor sites healed satisfactorily in all cases, with no impairment of function related to the skin graft. All patients expressed satisfaction with the postoperative pain, functional outcome, and cosmetic appearance related to both the skin graft and forearm donor sites.
Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site is an effective, safe alternative to the traditional split thickness skin graft.
本研究旨在描述使用腹股沟全厚皮片覆盖桡侧前臂游离皮瓣供区的情况。我们的假设是，使用全厚皮片可降低发病率，改善皮片供区的功能和美容效果，同时也能很好地覆盖前臂供区。
本研究采用回顾性病历审查设计。
纳入1995年至2005年接受桡侧前臂游离皮瓣重建的患者。40例患者接受桡侧前臂游离皮瓣重建，并用从腹股沟获取的全厚皮片关闭前臂供区。腹股沟供区直接缝合。查阅包括临床记录、手术报告和照片在内的病历。
腹股沟区有1例轻微伤口裂开，前臂有5例轻微伤口裂开，其中2例肌腱外露；所有裂开均通过局部伤口护理进行保守治疗。所有病例的腹股沟伤口和前臂供区均愈合良好，皮片未导致功能受损。所有患者对与皮片和前臂供区相关的术后疼痛、功能结果和美容外观均表示满意。
用腹股沟全厚皮片覆盖桡侧前臂游离皮瓣供区是一种有效、安全的替代传统中厚皮片的方法。
