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KMID : 0361020190620090515
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Korean Journal of Otolaryngology - Head and Neck Surgery
2019 Volume.62 No. 9 p.515 ~ p.519
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Comparison of Skin Graft for the Defect of the Radial Forearm Free Flap
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Lee Joon-Kyoo
Yoon Sung-Ho
Kang Tae-Gu
Kim Jae-Gu
Kim Hee-Young
Lim Hye-Rin
Jeong Se-Hyun
Park Kyeong-Suk
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Abstract
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Background and Objectives: This study compared two types of skin graft reconstruction for the defect of the radial forearm free flap.
Subjects and Method: Ten cases of split-thickness skin graft (STSG) harvested from the thigh were analyzed. Also, ten cases of full-thickness skin graft (FTSG) harvest from the inguinal area applied with vacuum-assisted closure (VAC) system were analyzed.
Results: The defect size of the radial forearm was increased more in the STSG group than in the FTSG group (p＜0.05). Skin grafts were recovered completely sooner in the FTSG group than in the STSG group although it was not statistically significant (p=0.082). Five complications (pruritus, hypertrophic scar) were found in the donor site in the STSG group (p＜0.05). FTSG gave better scores according to the Vancouver Scar Scale in terms of pigmentation, pliability, and height (p＜0.05).
Conclusion: FTSG harvested from the inguinal area with the application of VAC system has many advantages for the defect of the radial forearm free flap although it is usually used for smaller size defects than for STSGs.
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KEYWORD
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Forearm, Free tissue flaps, Reconstructive surgical procedures, Skin transplantation
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