The radial forearm snake flap: An underutilized technique for fasciocutaneous and osteocutaneous forearm flaps with primary closure
Background The radial forearm free flap (RFFF) is associated with troublesome donor site morbidity related to split thickness skin grafting (STSG). The radial forearm snake flap with primary closure of the donor site may reduce donor site complications. Methods Single institution, retrospective coho...
Gespeichert in:
| Veröffentlicht in: | Head & neck 2022-05, Vol.44 (5), p.1106-1113 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1113 |
|---|---|
| container_issue | 5 |
| container_start_page | 1106 |
| container_title | Head & neck |
| container_volume | 44 |
| creator | Gessert, Thomas G. Pflum, Zachary E. Thompson, James D. Hoffman, Matthew R. Sanchez, Ruston Glazer, Tiffany A. Wieland, Aaron M. McCulloch, Timothy M. Hartig, Gregory K. |
| description | Background
The radial forearm free flap (RFFF) is associated with troublesome donor site morbidity related to split thickness skin grafting (STSG). The radial forearm snake flap with primary closure of the donor site may reduce donor site complications.
Methods
Single institution, retrospective cohort study comparing rates of delayed donor site wound healing and tendon exposure in 52 patients undergoing radial forearm snake flap and 95 patients undergoing conventional RFFF with STSG closure of the donor site.
Results
Tendon exposure occurred in zero (0%) patients undergoing snake flap and four (4.2%) patients undergoing conventional RFFF (0/52 vs. 4/95; p = 0.297). Delayed wound healing occurred in zero (0%) patients undergoing snake flap and 19 (20.0%) patients undergoing conventional RFFF (0/52 vs. 19/95; p |
| doi_str_mv | 10.1002/hed.27004 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2629059329</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2646888128</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-fa52f3762b8d4682939bf634fc3766f99469e1998084bb7cac59851b349805a23</originalsourceid><addsrcrecordid>eNp1kU9LwzAYh4Mobk4PfgEJeNFDtzR_2sbbmNMJAy_zXNI0oZldO5OWMa9-cVO7gQie8vLj4cn78gPgOkTjECE8KVQ-xjFC9AQMQ8TjABEan3YzJQFBMR2AC-fWCCESUXwOBoSFEeNxPARfq0JBK3IjSqhrq4TdQFeJdwV1KbYPcFrBtsqVbRtTmk-Vw0bJojIfrepwqIWTppZtIypVtw6KKoe1a9Sv6GjtfA7uTFPArTUbYfdQlrVrrboEZ1qUTl0d3hF4e5qvZotg-fr8MpsuA0kYoYEWDGsSRzhLcholmBOe6YhQLX0Yac5pxFXIeYISmmWxFJLxhIUZoT5iApMRuOu9W1v7A1yTboyTqiz7TVMcYY4YJ948Ard_0HXd2spv5yn_eZKEOPHUfU9JWztnlU4Pl6UhSrtmUt9M-tOMZ28Oxjbb-PRIHqvwwKQHdqZU-_9N6WL-2Cu_AYVkmIc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2646888128</pqid></control><display><type>article</type><title>The radial forearm snake flap: An underutilized technique for fasciocutaneous and osteocutaneous forearm flaps with primary closure</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gessert, Thomas G. ; Pflum, Zachary E. ; Thompson, James D. ; Hoffman, Matthew R. ; Sanchez, Ruston ; Glazer, Tiffany A. ; Wieland, Aaron M. ; McCulloch, Timothy M. ; Hartig, Gregory K.</creator><creatorcontrib>Gessert, Thomas G. ; Pflum, Zachary E. ; Thompson, James D. ; Hoffman, Matthew R. ; Sanchez, Ruston ; Glazer, Tiffany A. ; Wieland, Aaron M. ; McCulloch, Timothy M. ; Hartig, Gregory K.</creatorcontrib><description>Background
The radial forearm free flap (RFFF) is associated with troublesome donor site morbidity related to split thickness skin grafting (STSG). The radial forearm snake flap with primary closure of the donor site may reduce donor site complications.
Methods
Single institution, retrospective cohort study comparing rates of delayed donor site wound healing and tendon exposure in 52 patients undergoing radial forearm snake flap and 95 patients undergoing conventional RFFF with STSG closure of the donor site.
Results
Tendon exposure occurred in zero (0%) patients undergoing snake flap and four (4.2%) patients undergoing conventional RFFF (0/52 vs. 4/95; p = 0.297). Delayed wound healing occurred in zero (0%) patients undergoing snake flap and 19 (20.0%) patients undergoing conventional RFFF (0/52 vs. 19/95; p < 0.001).
Conclusions
The radial forearm snake flap provides an alternative to conventional RFFF harvest, which enables primary donor site closure with reduced rates of delayed donor site healing.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27004</identifier><identifier>PMID: 35165977</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Forearm ; Forearm - surgery ; forearm donor site morbidity ; forearm primary closure ; Free Tissue Flaps - transplantation ; Humans ; Morbidity ; radial forearm free flap ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Skin Transplantation - methods ; snake flap ; tendon exposure ; Wound healing</subject><ispartof>Head & neck, 2022-05, Vol.44 (5), p.1106-1113</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-fa52f3762b8d4682939bf634fc3766f99469e1998084bb7cac59851b349805a23</citedby><cites>FETCH-LOGICAL-c3534-fa52f3762b8d4682939bf634fc3766f99469e1998084bb7cac59851b349805a23</cites><orcidid>0000-0002-6090-8825</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.27004$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27004$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35165977$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gessert, Thomas G.</creatorcontrib><creatorcontrib>Pflum, Zachary E.</creatorcontrib><creatorcontrib>Thompson, James D.</creatorcontrib><creatorcontrib>Hoffman, Matthew R.</creatorcontrib><creatorcontrib>Sanchez, Ruston</creatorcontrib><creatorcontrib>Glazer, Tiffany A.</creatorcontrib><creatorcontrib>Wieland, Aaron M.</creatorcontrib><creatorcontrib>McCulloch, Timothy M.</creatorcontrib><creatorcontrib>Hartig, Gregory K.</creatorcontrib><title>The radial forearm snake flap: An underutilized technique for fasciocutaneous and osteocutaneous forearm flaps with primary closure</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
The radial forearm free flap (RFFF) is associated with troublesome donor site morbidity related to split thickness skin grafting (STSG). The radial forearm snake flap with primary closure of the donor site may reduce donor site complications.
Methods
Single institution, retrospective cohort study comparing rates of delayed donor site wound healing and tendon exposure in 52 patients undergoing radial forearm snake flap and 95 patients undergoing conventional RFFF with STSG closure of the donor site.
Results
Tendon exposure occurred in zero (0%) patients undergoing snake flap and four (4.2%) patients undergoing conventional RFFF (0/52 vs. 4/95; p = 0.297). Delayed wound healing occurred in zero (0%) patients undergoing snake flap and 19 (20.0%) patients undergoing conventional RFFF (0/52 vs. 19/95; p < 0.001).
Conclusions
The radial forearm snake flap provides an alternative to conventional RFFF harvest, which enables primary donor site closure with reduced rates of delayed donor site healing.</description><subject>Forearm</subject><subject>Forearm - surgery</subject><subject>forearm donor site morbidity</subject><subject>forearm primary closure</subject><subject>Free Tissue Flaps - transplantation</subject><subject>Humans</subject><subject>Morbidity</subject><subject>radial forearm free flap</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Skin Transplantation - methods</subject><subject>snake flap</subject><subject>tendon exposure</subject><subject>Wound healing</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9LwzAYh4Mobk4PfgEJeNFDtzR_2sbbmNMJAy_zXNI0oZldO5OWMa9-cVO7gQie8vLj4cn78gPgOkTjECE8KVQ-xjFC9AQMQ8TjABEan3YzJQFBMR2AC-fWCCESUXwOBoSFEeNxPARfq0JBK3IjSqhrq4TdQFeJdwV1KbYPcFrBtsqVbRtTmk-Vw0bJojIfrepwqIWTppZtIypVtw6KKoe1a9Sv6GjtfA7uTFPArTUbYfdQlrVrrboEZ1qUTl0d3hF4e5qvZotg-fr8MpsuA0kYoYEWDGsSRzhLcholmBOe6YhQLX0Yac5pxFXIeYISmmWxFJLxhIUZoT5iApMRuOu9W1v7A1yTboyTqiz7TVMcYY4YJ948Ard_0HXd2spv5yn_eZKEOPHUfU9JWztnlU4Pl6UhSrtmUt9M-tOMZ28Oxjbb-PRIHqvwwKQHdqZU-_9N6WL-2Cu_AYVkmIc</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Gessert, Thomas G.</creator><creator>Pflum, Zachary E.</creator><creator>Thompson, James D.</creator><creator>Hoffman, Matthew R.</creator><creator>Sanchez, Ruston</creator><creator>Glazer, Tiffany A.</creator><creator>Wieland, Aaron M.</creator><creator>McCulloch, Timothy M.</creator><creator>Hartig, Gregory K.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6090-8825</orcidid></search><sort><creationdate>202205</creationdate><title>The radial forearm snake flap: An underutilized technique for fasciocutaneous and osteocutaneous forearm flaps with primary closure</title><author>Gessert, Thomas G. ; Pflum, Zachary E. ; Thompson, James D. ; Hoffman, Matthew R. ; Sanchez, Ruston ; Glazer, Tiffany A. ; Wieland, Aaron M. ; McCulloch, Timothy M. ; Hartig, Gregory K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-fa52f3762b8d4682939bf634fc3766f99469e1998084bb7cac59851b349805a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Forearm</topic><topic>Forearm - surgery</topic><topic>forearm donor site morbidity</topic><topic>forearm primary closure</topic><topic>Free Tissue Flaps - transplantation</topic><topic>Humans</topic><topic>Morbidity</topic><topic>radial forearm free flap</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Skin Transplantation - methods</topic><topic>snake flap</topic><topic>tendon exposure</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gessert, Thomas G.</creatorcontrib><creatorcontrib>Pflum, Zachary E.</creatorcontrib><creatorcontrib>Thompson, James D.</creatorcontrib><creatorcontrib>Hoffman, Matthew R.</creatorcontrib><creatorcontrib>Sanchez, Ruston</creatorcontrib><creatorcontrib>Glazer, Tiffany A.</creatorcontrib><creatorcontrib>Wieland, Aaron M.</creatorcontrib><creatorcontrib>McCulloch, Timothy M.</creatorcontrib><creatorcontrib>Hartig, Gregory K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gessert, Thomas G.</au><au>Pflum, Zachary E.</au><au>Thompson, James D.</au><au>Hoffman, Matthew R.</au><au>Sanchez, Ruston</au><au>Glazer, Tiffany A.</au><au>Wieland, Aaron M.</au><au>McCulloch, Timothy M.</au><au>Hartig, Gregory K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The radial forearm snake flap: An underutilized technique for fasciocutaneous and osteocutaneous forearm flaps with primary closure</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2022-05</date><risdate>2022</risdate><volume>44</volume><issue>5</issue><spage>1106</spage><epage>1113</epage><pages>1106-1113</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
The radial forearm free flap (RFFF) is associated with troublesome donor site morbidity related to split thickness skin grafting (STSG). The radial forearm snake flap with primary closure of the donor site may reduce donor site complications.
Methods
Single institution, retrospective cohort study comparing rates of delayed donor site wound healing and tendon exposure in 52 patients undergoing radial forearm snake flap and 95 patients undergoing conventional RFFF with STSG closure of the donor site.
Results
Tendon exposure occurred in zero (0%) patients undergoing snake flap and four (4.2%) patients undergoing conventional RFFF (0/52 vs. 4/95; p = 0.297). Delayed wound healing occurred in zero (0%) patients undergoing snake flap and 19 (20.0%) patients undergoing conventional RFFF (0/52 vs. 19/95; p < 0.001).
Conclusions
The radial forearm snake flap provides an alternative to conventional RFFF harvest, which enables primary donor site closure with reduced rates of delayed donor site healing.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>35165977</pmid><doi>10.1002/hed.27004</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6090-8825</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1043-3074 |
| ispartof | Head & neck, 2022-05, Vol.44 (5), p.1106-1113 |
| issn | 1043-3074 1097-0347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2629059329 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Forearm Forearm - surgery forearm donor site morbidity forearm primary closure Free Tissue Flaps - transplantation Humans Morbidity radial forearm free flap Reconstructive Surgical Procedures - methods Retrospective Studies Skin Transplantation - methods snake flap tendon exposure Wound healing |
| title | The radial forearm snake flap: An underutilized technique for fasciocutaneous and osteocutaneous forearm flaps with primary closure |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T17%3A33%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20radial%20forearm%20snake%20flap:%20An%20underutilized%20technique%20for%20fasciocutaneous%20and%20osteocutaneous%20forearm%20flaps%20with%20primary%20closure&rft.jtitle=Head%20&%20neck&rft.au=Gessert,%20Thomas%20G.&rft.date=2022-05&rft.volume=44&rft.issue=5&rft.spage=1106&rft.epage=1113&rft.pages=1106-1113&rft.issn=1043-3074&rft.eissn=1097-0347&rft_id=info:doi/10.1002/hed.27004&rft_dat=%3Cproquest_cross%3E2646888128%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2646888128&rft_id=info:pmid/35165977&rfr_iscdi=true |