Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site
Abstract Purpose 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...
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| Veröffentlicht in: | American journal of otolaryngology 2007-09, Vol.28 (5), p.325-329 |
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| creator | Kim, Theresa B., MD Moe, Kris S., MD Eisele, David W., MD Orloff, Lisa A., MD Wang, Steven J., MD |
| description | Abstract Purpose 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. Study design This study used a retrospective chart review design. Materials and methods 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. Results 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. Conclusions 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. |
| doi_str_mv | 10.1016/j.amjoto.2006.10.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68248929</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S019607090600247X</els_id><sourcerecordid>2729730421</sourcerecordid><originalsourceid>FETCH-LOGICAL-c539t-c3c5026f06be2ce8f56e888ee204998331217204004e2970d981ebba432d2f2b3</originalsourceid><addsrcrecordid>eNqFklGL1DAQx4Mo3t7pNxApiPfWdZK0afIiyOGpcOCDCvcW03Ryl27brEl7cN_e1F1YuBefksz85j-TP0PIGwpbClR86Ldm7MMctgxA5NAWQD0jG1pzVkoqb5-TDVAlSmhAnZHzlHoA4BWvX5Iz2kgmal5tyO_rZRjK-d7b3YQpFWnnp-IuGjcXLoaxmO8xP0MOuhALGx4wmjssgvuXiabzZlhTaOKYKxALN5h90YUp48nP-Iq8cGZI-Pp4XpBf159_Xn0tb75_-Xb16aa0NVdzabmtgQkHokVmUbpaoJQSkUGllOScMtrkO0CFTDXQKUmxbU3FWccca_kFuTzo7mP4s2Ca9eiTxWEwE4YlaSFZJRVTGXz3BOzDEqc8m6aQ21S1YJCp6kDZGFKK6PQ--tHExwzp1X_d64P_evV_jWb_c9nbo_jSjtidio6GZ-D9ETDJmsFFM1mfTpyism5Ek7mPBw6zZw8eo07W42Sx8xHtrLvg_zfJUwE7-Mnnnjt8xHT6s05Mg_6x7sq6KiAAWNXc8r_turkD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1031245620</pqid></control><display><type>article</type><title>Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Kim, Theresa B., MD ; Moe, Kris S., MD ; Eisele, David W., MD ; Orloff, Lisa A., MD ; Wang, Steven J., MD</creator><creatorcontrib>Kim, Theresa B., MD ; Moe, Kris S., MD ; Eisele, David W., MD ; Orloff, Lisa A., MD ; Wang, Steven J., MD</creatorcontrib><description>Abstract Purpose 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. Study design This study used a retrospective chart review design. Materials and methods 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. Results 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. Conclusions 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.</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2006.10.009</identifier><identifier>PMID: 17826534</identifier><identifier>CODEN: AJOTDP</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Forearm - surgery ; Groin - surgery ; Humans ; Medical sciences ; Otolaryngology ; Otorhinolaryngology. Stomatology ; Pain Measurement ; Retrospective Studies ; Skin Transplantation - methods ; Surgery ; Surgical Flaps ; Surgical Wound Dehiscence ; Wound Healing</subject><ispartof>American journal of otolaryngology, 2007-09, Vol.28 (5), p.325-329</ispartof><rights>2007</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Elsevier Limited 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-c3c5026f06be2ce8f56e888ee204998331217204004e2970d981ebba432d2f2b3</citedby><cites>FETCH-LOGICAL-c539t-c3c5026f06be2ce8f56e888ee204998331217204004e2970d981ebba432d2f2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S019607090600247X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19185767$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17826534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Theresa B., MD</creatorcontrib><creatorcontrib>Moe, Kris S., MD</creatorcontrib><creatorcontrib>Eisele, David W., MD</creatorcontrib><creatorcontrib>Orloff, Lisa A., MD</creatorcontrib><creatorcontrib>Wang, Steven J., MD</creatorcontrib><title>Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><description>Abstract Purpose 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. Study design This study used a retrospective chart review design. Materials and methods 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. Results 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. Conclusions 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.</description><subject>Biological and medical sciences</subject><subject>Forearm - surgery</subject><subject>Groin - surgery</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Otolaryngology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pain Measurement</subject><subject>Retrospective Studies</subject><subject>Skin Transplantation - methods</subject><subject>Surgery</subject><subject>Surgical Flaps</subject><subject>Surgical Wound Dehiscence</subject><subject>Wound Healing</subject><issn>0196-0709</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFklGL1DAQx4Mo3t7pNxApiPfWdZK0afIiyOGpcOCDCvcW03Ryl27brEl7cN_e1F1YuBefksz85j-TP0PIGwpbClR86Ldm7MMctgxA5NAWQD0jG1pzVkoqb5-TDVAlSmhAnZHzlHoA4BWvX5Iz2kgmal5tyO_rZRjK-d7b3YQpFWnnp-IuGjcXLoaxmO8xP0MOuhALGx4wmjssgvuXiabzZlhTaOKYKxALN5h90YUp48nP-Iq8cGZI-Pp4XpBf159_Xn0tb75_-Xb16aa0NVdzabmtgQkHokVmUbpaoJQSkUGllOScMtrkO0CFTDXQKUmxbU3FWccca_kFuTzo7mP4s2Ca9eiTxWEwE4YlaSFZJRVTGXz3BOzDEqc8m6aQ21S1YJCp6kDZGFKK6PQ--tHExwzp1X_d64P_evV_jWb_c9nbo_jSjtidio6GZ-D9ETDJmsFFM1mfTpyism5Ek7mPBw6zZw8eo07W42Sx8xHtrLvg_zfJUwE7-Mnnnjt8xHT6s05Mg_6x7sq6KiAAWNXc8r_turkD</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Kim, Theresa B., MD</creator><creator>Moe, Kris S., MD</creator><creator>Eisele, David W., MD</creator><creator>Orloff, Lisa A., MD</creator><creator>Wang, Steven J., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><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>7QO</scope><scope>7QR</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20070901</creationdate><title>Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site</title><author>Kim, Theresa B., MD ; Moe, Kris S., MD ; Eisele, David W., MD ; Orloff, Lisa A., MD ; Wang, Steven J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-c3c5026f06be2ce8f56e888ee204998331217204004e2970d981ebba432d2f2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Forearm - surgery</topic><topic>Groin - surgery</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Otolaryngology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pain Measurement</topic><topic>Retrospective Studies</topic><topic>Skin Transplantation - methods</topic><topic>Surgery</topic><topic>Surgical Flaps</topic><topic>Surgical Wound Dehiscence</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Theresa B., MD</creatorcontrib><creatorcontrib>Moe, Kris S., MD</creatorcontrib><creatorcontrib>Eisele, David W., MD</creatorcontrib><creatorcontrib>Orloff, Lisa A., MD</creatorcontrib><creatorcontrib>Wang, Steven J., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>American journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Theresa B., MD</au><au>Moe, Kris S., MD</au><au>Eisele, David W., MD</au><au>Orloff, Lisa A., MD</au><au>Wang, Steven J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site</atitle><jtitle>American journal of otolaryngology</jtitle><addtitle>Am J Otolaryngol</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>28</volume><issue>5</issue><spage>325</spage><epage>329</epage><pages>325-329</pages><issn>0196-0709</issn><eissn>1532-818X</eissn><coden>AJOTDP</coden><abstract>Abstract Purpose 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. Study design This study used a retrospective chart review design. Materials and methods 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. Results 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. Conclusions 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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17826534</pmid><doi>10.1016/j.amjoto.2006.10.009</doi><tpages>5</tpages></addata></record> |
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| ispartof | American journal of otolaryngology, 2007-09, Vol.28 (5), p.325-329 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Forearm - surgery Groin - surgery Humans Medical sciences Otolaryngology Otorhinolaryngology. Stomatology Pain Measurement Retrospective Studies Skin Transplantation - methods Surgery Surgical Flaps Surgical Wound Dehiscence Wound Healing |
| title | Full-thickness skin graft from the groin for coverage of the radial forearm free flap donor site |
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