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Ann Chir Plast Esthet. 2010 Feb;55(1):14-8. doi: 10.1016/j.anplas.2008.10.001. Epub 2009 Feb 4.

[Suprafascial dissection of the radial forearm flap].

[Article in French]

Author information

  • 1Service de Chirurgie Maxillofaciale et Stomatologie, Hôpital Lapeyronie, 371 Avenue du Doyen-Gaston-Giraud, 34295 Montpellier Cedex 5, France. Kamaldounia@hotmail.com

Abstract

INTRODUCTION:

The aim of this study was to assess the efficacy of dissection of radial forearm flap in a superficial plan above the deep fascia to prevent donor site problems.

PATIENTS AND METHODS:

Eighteen radial forearm flaps were used for orofacial reconstruction: 11 suprafascial flaps and seven infrafascial flaps. We compared in the two groups: flap failure, graft success, tendon adhesions, sensory nerve damage at donor site.

RESULTS:

We observed one case of flap failure in the infrafascial group and one case in the suprafascial group. With suprafascial elevation flap technique, we noted 100% of grafts integration without tendon adhesion. In infrafascial elevation flap technique, four out of seven patients had delayed healing.

DISCUSSION:

The suprafascial dissection of free radial forearm flap creates a superior graft recipient bed ensuring early and complete successful graft.

2008 Elsevier Masson SAS. All rights reserved.

PMID:
19195759
[PubMed - indexed for MEDLINE]
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