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Outcomes of Radial Forearm Free Flap Closure With Split-Thickness Skin Graft Versus Primary Closure. | LitMetric
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Outcomes of Radial Forearm Free Flap Closure With Split-Thickness Skin Graft Versus Primary Closure.

Dorsa Mousa-Doust Anat Bahat Dinur Sena Turkdogan J Scott Durham Donald Anderson Eitan Prisman

Laryngoscope

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Published: October 2024

AI Article Synopsis

  • This study evaluated patient-reported outcomes between split-thickness skin graft (STSG) and hatchet flap closure methods for radial forearm free flap donor sites.
  • A total of 198 patients were considered, with 81 participating in reporting their experiences through specific assessment scales, revealing STSG had lower skin necrosis rates and better scar quality compared to hatchet flap, despite higher tendon exposure issues.
  • Overall, while both methods were similar in functional outcomes, STSG showed greater patient satisfaction with scar quality and daily living activities.

Article Abstract

Background: This study compares patient-reported functional and aesthetic outcomes of split-thickness skin graft (STSG) versus hatchet flap closure of radial forearm free flap (RFFF) donor site.

Methods: Patients with RFFF (2015-2020) were retrospectively identified. Those willing to participate in patient-reported outcomes (PRO) filled out Patient-Observer Scar Assessment Scale (POSAS) and Michigan Hand Outcome Questionnaire (MHOQ).

Results: 198 patients met our inclusion criteria and 81 participated in PRO. There was a higher rate of tendon exposure in STSG versus hatchet flap (11 vs. 1, p = 0.0019), but a lower rate of skin necrosis (5 vs. 16, p = 0.0190) and epidermolysis (1 vs. 12, p = 0.0028). Scar quality in STSG was superior to hatchet flap in all domains of POSAS. MHOQ scores were similar between both groups with no statistical difference in overall scores (p = 0.2165).

Conclusions: STSG appeared to have less compromise in activities of daily living, better satisfaction and improved scar quality than hatchet flap, but a higher rate of tendon exposure.

Level Of Evidence: 3 Laryngoscope, 134:4266-4273, 2024.

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 Source
http://dx.doi.org/10.1002/lary.31489DOI Listing

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